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NPI Code Detail

MEDICARE: CHARLES J LEE M.D.

MEDICARE: CHARLES J LEE M.D.
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
1207L00000XAnesthesiology PhysicianJ6010TX

General Provider Information

NPI Number : 1225038789
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES J LEE M.D.
Provider Business Mailing Address
First Line : PO BOX 73265
Second Line :
City : HOUSTON
State : TX
Zip : 77273-3265
Country : US
Telephone Number : 281-580-9030
Fax Number : 281-580-2725
Provider Business Practice Location Address
First Line : 1401 ST JOSEPH PKWY
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8301
Country : US
Telephone Number : 281-580-9030
Fax Number : 281-580-2725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 11/14/2007

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