MEDICARE: DR. CHIN HYUN LEE M.D.

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	760039702	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	:	1851401202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHIN HYUN LEE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 19669
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77224-9669
Country	:	US
Telephone Number	:	713-692-0600
Fax Number	:	713-699-9352

Provider Business Practice Location Address
First Line	:	7333 NORTH FWY STE 260
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-1395
Country	:	US
Telephone Number	:	713-692-0600
Fax Number	:	713-699-9352

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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