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Individual

ANDREW G LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6560 FANNIN ST, SUITE 450, HOUSTON, TX 77030-2761
(713) 441-8843
(713) 441-6463
Mailing address
6560 FANNIN ST, SUITE 450, HOUSTON, TX 77030-2761
(713) 441-8843
(713) 441-6463

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
33357
IA
207W00000X
Ophthalmology Physician
Primary
J7048
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0206417
IA
05
125175305
TX
05
125175306
TX
01
16243
WELLMARK BCBS
IA
01
8BZ089
BLUE CROSS BLUE SHIELD
TX
01
8DZ190
BLUE CROSS BLUE SHIELD
TX
01
P00782064
MEDICARE RAILROAD
TX
01
P01063017
RAILROAD MEDICARE
TX
Enumeration date
08/10/2005
Last updated
10/15/2013
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