Individual
JENNIFER CAITLIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5206 RESEARCH DR, SAN ANTONIO, TX 78240-5251
(210) 595-5300
(210) 595-5321
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
S3225
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404644301
—
TX
Enumeration date
05/12/2014
Last updated
01/08/2020
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