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NPI Code Detail

MEDICARE: C LEE GROUP LLC

MEDICARE: C LEE GROUP LLC
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
1343800000XSecured Medical Transport (VAN)

General Provider Information

NPI Number : 1851786685
Entity Type Code : Organization
Provider Name (Legal Business Name) : C LEE GROUP LLC
Provider Business Mailing Address
First Line : 3560 W CAMP WISDOM RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-2513
Country : US
Telephone Number : 469-818-7989
Fax Number :
Provider Business Practice Location Address
First Line : 3560 W CAMP WISDOM RD
Second Line :
City : DALLAS
State : TX
Zip : 75237-2513
Country : US
Telephone Number : 469-818-7989
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : DEMARKUS LERON CORBINS
Credential :
Telephone Number : 214-532-0259
Provider Enumeration Date : 03/30/2015
Last Update Date : 11/14/2024

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Directions to “C LEE GROUP LLC ” Practice Location

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