MEDICARE: THOMAS M. LEE CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	633146	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	85022U	OTHER	TX	BLUE CROSS BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	8343UG	OTHER	TX	BCBS TX
11	87028U	OTHER	TX	BCBS
12	P00956814	OTHER	TX	RAILROAD

General Provider Information

NPI Number	:	1700884533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS M. LEE CRNA

Provider Business Mailing Address
First Line	:	PO BOX 650865
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75265-0865
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	6606 LBJ FWY STE 200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-6524
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	10/29/2015

Similar Medicare Providers

1609435874 — CORINNE BOURDILLON
Practice Location Address:

6606 LBJ FWY STE 200
DALLAS, TX
75240-6524

Practice Phone: 972-715-5000
Practice Fax: 972-715-9976

1548262595 — DR. DANIEL LAIDLEY M.D.
Practice Location Address:

6606 LBJ FWY STE 200
DALLAS, TX
75240-6524

Practice Phone: 972-715-5000
Practice Fax:

1295730554 — LEO DEWITT MCCARTER M.D.
Practice Location Address:

6606 LBJ FWY STE 200
DALLAS, TX
75240-6524

Practice Phone: 972-715-5000
Practice Fax: 972-715-9976

1891790143 — JOHN LUNDELL MD
Practice Location Address:

6606 LBJ FWY STE 200
DALLAS, TX
75240-6524

Practice Phone: 972-715-5000
Practice Fax: 972-715-9976

1891790036 — EDWARD KIRBY SWIFT MD
Practice Location Address:

6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX
75240-6524

Practice Phone: 972-233-1999
Practice Fax: 972-233-3666

1902804735 — BARBARA JEAN BROWN CRNA
Practice Location Address:

6606 LYNDON B JOHNSON FWY STE 200
DALLAS, TX
75240-6524

Practice Phone: 972-715-5000
Practice Fax: 972-715-9976

Directions to “ THOMAS M. LEE CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.