MEDICARE: DR. WASHINGTON T 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
1	207W00000X	Ophthalmology Physician	E6124	TX

General Provider Information

NPI Number	:	1316940257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WASHINGTON T LEE M.D.

Provider Business Mailing Address
First Line	:	1730 SW MILITARY DR
Second Line	:	STE 206
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1400
Country	:	US
Telephone Number	:	210-924-4464
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 SW MILITARY DR
Second Line	:	STE 206
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1400
Country	:	US
Telephone Number	:	210-924-4464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/18/2007

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