Lee, Jong O.
Lee, Jong O. is an individual health care provider with primary practice located at 815 Market St Medical Staff Office, Galveston TX 77550-2725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as his primary health care specialty. Lee, Jong O. can be contacted via phone (409) 770-6731.Contact Information
Primary practice address
815 Market St Medical Staff Office
Galveston TX 77550-2725
Phone: (409) 770-6731
Fax: (409) 770-6919
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | L8107 | Texas |
Profile Details
NPI number | 1174631295 |
---|---|
LBN Legal business name | Lee, Jong O. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 28th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174631295 | NPPES |
Texas | MEDICAID | 8718B7 |
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