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General NPI Number Information
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NPI Number | 1174575831
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Entity Type | Individual
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Provider Name | MOONHEE LEE M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 3939 W GREEN OAKS BLVD SUITE 210
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City | ARLINGTON
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State | TX
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Zip | 76016-2784
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Country | US
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Telephone | 817-457-3939
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Fax | 817-457-3114
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Provider Business Mailing Address
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Address Line | 3939 W GREEN OAKS BLVD SUITE 210
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City | ARLINGTON
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State | TX
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Zip | 76016-2784
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Country | US
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Telephone | 817-457-3939
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Fax | 817-457-3114
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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 | H3693
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License Number State | TX
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