MEDICARE: DAVID AUBREY LEE MD

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	208200000X	Plastic Surgery Physician	D9839	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538153275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID AUBREY LEE MD

Provider Business Mailing Address
First Line	:	2505 CORNERSTONE BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8463
Country	:	US
Telephone Number	:	956-627-2878
Fax Number	:	956-627-3702

Provider Business Practice Location Address
First Line	:	2505 CORNERSTONE BLVD
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-8463
Country	:	US
Telephone Number	:	956-627-2878
Fax Number	:	956-627-3702

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

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	06/02/2014

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