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NPI Code Detail

MEDICARE: PAUL LEE DO

MEDICARE: PAUL LEE DO
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207L00000XAnesthesiology Physician0102207576VA
3208D00000XGeneral Practice Physician0102207576VA

General Provider Information

NPI Number : 1477146306
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL LEE DO
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-8666
Fax Number : 210-916-8712
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-8666
Fax Number : 210-916-8712
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2021
Last Update Date : 12/12/2025

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Directions to “ PAUL LEE DO” Practice Location

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