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General NPI Number Information
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NPI Number | 1316911233
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Entity Type | Individual
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Provider Name | BILL RAY LEE MD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2006
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 2203 W LAMPASAS ST SUITE 211
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City | ENNIS
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State | TX
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Zip | 75119-5644
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Country | US
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Telephone | 972-875-3997
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Fax | 972-875-2545
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Provider Business Mailing Address
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Address Line | 514 SOUTH BONHAM SUITE D
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City | MEXIA
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State | TX
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Zip | 76667-3664
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Country | US
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Telephone | 254-562-9321
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Fax | 254-562-2813
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D9536
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License Number State | TX
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