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NPI Code Detail

MEDICARE: MONICA LEE, NP, PC

MEDICARE: MONICA LEE, NP, PC
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
1314000000XSkilled Nursing Facility682195TX

General Provider Information

NPI Number : 1144586140
Entity Type Code : Organization
Provider Name (Legal Business Name) : MONICA LEE, NP, PC
Provider Business Mailing Address
First Line : 3836 HILLTOP RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-2715
Country : US
Telephone Number : 817-889-2609
Fax Number : 817-889-2609
Provider Business Practice Location Address
First Line : 8001 WESTERN HILLS BLVD
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-3524
Country : US
Telephone Number : 817-889-2609
Fax Number : 817-719-9257
Authorized Official
Title or Position : CEO/NURSE PRACTITIONER
Name : MONICA LEE
Credential : NP-C
Telephone Number : 817-889-2609
Provider Enumeration Date : 04/04/2012
Last Update Date : 05/02/2012

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