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Individual

DR. RICHARD W LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13330 HARGRAVE ROAD, SUITE 390, HOUSTON, TX 77070-4347
(281) 737-2918
(281) 737-2919
Mailing address
13330 HARGRAVE ROAD, SUITE 390, HOUSTON, TX 77070-4347
(281) 737-2918
(281) 737-2919

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
N6465
TX
2086S0129X
Vascular Surgery Physician
Primary
N6465
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902810112
BLUE CROSS BLUE SHIELD
TX
05
217496301
TX
05
217496302
TX
05
217496303
TX
01
8CK712
BCBS
TX
01
P00950623
MEDICARE RR
TX
01
P01070308
RR MEDICARE
TX
Enumeration date
07/27/2006
Last updated
10/18/2017
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