Lee, Albert C

Lee, Albert C is an individual health care provider with primary practice located at 520 E Douglas Blvd , Tyler TX 75702-8307. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lee, Albert C can be contacted via phone (903) 593-1721.

Contact Information

Primary practice address
520 E Douglas Blvd Tyler TX 75702-8307
Phone: (903) 593-1721
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G58417 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X N0916 Texas

Profile Details

NPI number 1316966971
LBN Legal business name Lee, Albert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jan 4th, 2016 - about 8 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 1316966971 NPPES
Texas MEDICAID 196640002
Texas Other 8CU212
Texas MEDICAID 196640001
Texas MEDICAID 196640003
Texas Other TIN PLUS 113
Texas MEDICAID 196640004
Texas Other TIN PLUS 013
Texas Other 8BC077
Texas Other 8AP484
Texas Other TIN PLUS 005
Texas Other TIN PLUS 007

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