Lee, Justin T

Lee, Justin T is an individual health care provider with primary practice located at 5005 S Cooper St Ste 250 , Arlington TX 76017-5996. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Lee, Justin T can be contacted via phone (866) 367-8768.

Contact Information

Primary practice address
5005 S Cooper St Ste 250 Arlington TX 76017-5996
Phone: (866) 367-8768
Fax: (817) 541-9540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X L3726 Texas

Profile Details

NPI number 1023004413
LBN Legal business name Lee, Justin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 17th, 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 1023004413 NPPES
Texas Other 150756804 MEDICAID OTHER
Texas MEDICAID 150756801 MEDICAID OTHER
Texas MEDICAID 150756802 MEDICAID OTHER
Texas MEDICAID 150756803 MEDICAID OTHER
Texas MEDICAID 150756805 MEDICAID OTHER

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