Individual
CHARLES STEVENS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1111 N IH 35 STE 204, ROUND ROCK, TX 78664-4244
(512) 238-6000
(512) 238-9559
Mailing address
502 GEYSER AVE, PFLUGERVILLE, TX 78660-4020
(512) 659-2046
(512) 238-9559
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
712700
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712700
TEXAS BOARD OF NURSING
TX
Enumeration date
05/23/2021
Last updated
05/23/2021
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