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NPI Code Detail

MEDICARE: PAGING DR. LEE, PLLC

MEDICARE: PAGING DR. LEE, PLLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1619595774
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAGING DR. LEE, PLLC
Provider Business Mailing Address
First Line : 4501 CARTWRIGHT RD STE 104
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3537
Country : US
Telephone Number : 832-947-3867
Fax Number :
Provider Business Practice Location Address
First Line : 4501 CARTWRIGHT RD STE 104
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-3537
Country : US
Telephone Number : 832-947-3867
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ELIZABETH LEE MIZELLE
Credential : D.O.
Telephone Number : 646-338-4437
Provider Enumeration Date : 07/06/2020
Last Update Date : 07/06/2020

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Directions to “PAGING DR. LEE, PLLC ” Practice Location

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