Individual
MARY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 702-8859
Mailing address
1251 SADLER DR STE 2100, SAN MARCOS, TX 78666-8629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
651489
TX
207RC0000X
Cardiovascular Disease Physician
Primary
651489
TX
Other
Enumeration date
04/29/2016
Last updated
10/07/2022
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