MEDICARE: JONG H 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	207W00000X	Ophthalmology Physician	L2406	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	:	1962464826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONG H LEE MD

Provider Business Mailing Address
First Line	:	4325 N JOSEY LN
Second Line	:	STE 103
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4635
Country	:	US
Telephone Number	:	972-395-7131
Fax Number	:	972-395-7585

Provider Business Practice Location Address
First Line	:	4325 N JOSEY LN
Second Line	:	STE 103
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4635
Country	:	US
Telephone Number	:	972-395-7131
Fax Number	:	972-395-7585

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

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	04/23/2009

Similar Medicare Providers

1134110844 — DR. WILBUR F HOWARD JR. M.D.
Practice Location Address:

4325 N JOSEY LN , SUITE 308
CARROLLTON, TX
75010-4635

Practice Phone: 972-394-3699
Practice Fax: 972-394-6517

1932176682 — MR. VICHA SIRI MD
Practice Location Address:

4325 N JOSEY LN , STE 111
CARROLLTON, TX
75010-4635

Practice Phone: 972-492-5000
Practice Fax: 972-394-5909

1437108081 — DR. ENRIQUE A PEREZ MD
Practice Location Address:

4325 N JOSEY LN , TRINITY MEDICAL PLAZA III, SUITE 200
CARROLLTON, TX
75010-4635

Practice Phone: 972-394-4368
Practice Fax: 972-394-4941

1215972419 — DR. VIDYASAGAR CHODIMELLA MD
Practice Location Address:

4325 N JOSEY LN , SUITE 204, PLAZA 3
CARROLLTON, TX
75010-4635

Practice Phone: 972-395-7400
Practice Fax:

1942210398 — NIKKI ANDERSON WALDEN M.D.
Practice Location Address:

4325 N JOSEY LN , SUITE 300
CARROLLTON, TX
75010-4635

Practice Phone: 972-820-9333
Practice Fax: 972-492-8600

1568512515 — J SUBRAMANIAN MD PLLC
Practice Location Address:

4325 N JOSEY LN , PLAZA III STE.206
CARROLLTON, TX
75010-4635

Practice Phone: 972-939-7246
Practice Fax: 972-394-0293

Directions to “ JONG H LEE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.