Individual
MR. LEE JAMES WHITEHEAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
11600 W FM 471, SAN ANTONIO, TX 78253-4802
(210) 397-6068
(210) 688-6072
Mailing address
9231 RIDGE CROSS, SAN ANTONIO, TX 78250-5086
(210) 682-2374
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
AT2393
TX
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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