Lee, Jason Z

Lee, Jason Z is an individual health care provider with primary practice located at 5002 Cowhorn Creek Rd , Texarkana TX 75503-9766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, Jason Z can be contacted via phone (903) 614-3000.

Contact Information

Primary practice address
5002 Cowhorn Creek Rd Texarkana TX 75503-9766
Fax: (903) 614-3525
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X E4176 Arkansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M1876 Texas

Profile Details

NPI number 1285634592
LBN Legal business name Lee, Jason Z
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 29th, 2020 - about 4 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 1285634592 NPPES
Arkansas MEDICAID 154475001
Arkansas Other 466853ZSR
Arkansas Other 5M963B878

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