MEDICARE: DR. YUEH BRYAN LEE DPM

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	213E00000X	Podiatrist	1632	TX
2	213ES0103X	Foot & Ankle Surgery Podiatrist	1632	TX

General Provider Information

NPI Number	:	1962472571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YUEH BRYAN LEE DPM

Provider Business Mailing Address
First Line	:	8200 WEDNESBURY LN
Second Line	:	#210
City	:	HOUSTON
State	:	TX
Zip	:	77074-2931
Country	:	US
Telephone Number	:	713-772-3338
Fax Number	:	713-771-1876

Provider Business Practice Location Address
First Line	:	8200 WEDNESBURY LN
Second Line	:	#210
City	:	HOUSTON
State	:	TX
Zip	:	77074-2925
Country	:	US
Telephone Number	:	713-772-3338
Fax Number	:	713-771-1876

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	07/09/2008

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