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General NPI Number Information
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NPI Number | 1154716967
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Entity Type | Individual
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Provider Name | THEODORE LEE
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 810 HIGHWAY 6 S STE 211
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City | HOUSTON
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State | TX
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Zip | 77079
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Country | US
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Telephone | 713-487-6471
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Fax | 281-339-4430
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Provider Business Mailing Address
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Address Line | 27806 COLONIAL POINT DR
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City | KATY
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State | TX
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Zip | 77494-6018
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Country | US
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Telephone | 281-750-5167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | T0099
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | T0099
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | T0099
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2080P0201X
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Taxonomy Name | Pediatric Allergy/Immunology Physician
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License Number | T0099
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License Number State | TX
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