Haak, Lee W

Haak, Lee W is an individual health care provider with primary practice located at 5301 William D Tate Ave , Grapevine TX 76051-7357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haak, Lee W can be contacted via phone (817) 251-2101.

Contact Information

Primary practice address
5301 William D Tate Ave Grapevine TX 76051-7357
Phone: (817) 251-2101
Fax: (817) 421-5041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L2296 Texas

Profile Details

NPI number 1104803923
LBN Legal business name Haak, Lee W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jan 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104803923 NPPES
Texas MEDICAID 146776307
Texas Other 740054
Texas MEDICAID 146776321

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