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NPI Code Detail

MEDICARE: DAVID M LEE, MD, PA

MEDICARE: DAVID M LEE, MD, PA
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
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10006MQOTHERTXBC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073576864
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID M LEE, MD, PA
Provider Business Mailing Address
First Line : 2801 LEMMON AVE STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75204-2399
Country : US
Telephone Number : 214-303-1033
Fax Number : 214-303-1032
Provider Business Practice Location Address
First Line : 2801 LEMMON AVE STE 400
Second Line :
City : DALLAS
State : TX
Zip : 75204-2399
Country : US
Telephone Number : 214-303-1033
Fax Number : 214-303-1032
Authorized Official
Title or Position : MD
Name : DAVID M LEE
Credential : MD
Telephone Number : 214-303-1033
Provider Enumeration Date : 04/11/2006
Last Update Date : 08/01/2024

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