MEDICARE: REGINA K LEE MD PA

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	207Q00000X	Family Medicine Physician	M8786	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740432541
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGINA K LEE MD PA

Provider Business Mailing Address
First Line	:	10010 WESTOVER HILLS BLVD STE 125
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1968
Country	:	US
Telephone Number	:	210-682-9434
Fax Number	:	210-572-5748

Provider Business Practice Location Address
First Line	:	10010 WESTOVER HILLS BLVD STE 125
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-1968
Country	:	US
Telephone Number	:	210-682-9434
Fax Number	:	210-572-5748

Authorized Official
Title or Position	:	PHYSICAN
Name	:	REGINA K LEE
Credential	:	MD
Telephone Number	:	210-682-9434

Provider Enumeration Date	:	10/13/2008
Last Update Date	:	03/13/2023

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Directions to “REGINA K LEE MD PA ” Practice Location

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