Lee, Susan Annette
Lee, Susan Annette is an individual health care provider with primary practice located at 124 E Bandera Rd Ste. 102, Boerne TX 78006-2849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lee, Susan Annette can be contacted via phone (830) 816-2312.Contact Information
Primary practice address
124 E Bandera Rd Ste. 102
Boerne TX 78006-2849
Phone: (830) 816-2312
Fax: (830) 816-2349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G8897 | Texas |
Profile Details
| NPI number | 1639179468 |
|---|---|
| LBN Legal business name | Lee, Susan Annette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Oct 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639179468 | NPPES |
| Texas | Other | 86J373 | WELLMED MEDICARE |
| Texas | Other | 3103152-01 | WELLMED MEDICARE |
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