MEDICARE: YONG DUCK 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	174400000X	Specialist	F3533	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10010074	OTHER	TX	PROVIDER ID

General Provider Information

NPI Number	:	1669407557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONG DUCK LEE MD

Provider Business Mailing Address
First Line	:	7333 NORTH FWY
Second Line	:	SUITE 220
City	:	HOUSTON
State	:	TX
Zip	:	77076-1300
Country	:	US
Telephone Number	:	713-694-5595
Fax Number	:	713-691-0715

Provider Business Practice Location Address
First Line	:	7333 NORTH FWY
Second Line	:	SUITE 220
City	:	HOUSTON
State	:	TX
Zip	:	77076-1300
Country	:	US
Telephone Number	:	713-694-5595
Fax Number	:	713-691-0715

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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Directions to “ YONG DUCK LEE MD” Practice Location

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