Healthcare Provider Details

I. General information

NPI: 1912224734
Provider Name (Legal Business Name): ERIC JARMAR LEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2010
Last Update Date: 06/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 MCMILLAN RD DEPARTMENT OF ANESTHESIA
WEST MONROE LA
71291-5327
US

IV. Provider business mailing address

15702 FALMOUTH DR
HOUSTON TX
77059-6426
US

V. Phone/Fax

Practice location:
  • Phone: 318-329-4200
  • Fax:
Mailing address:
  • Phone: 832-594-6387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberBP1-0037936
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: