Lee, Tae Young

Lee, Tae Young is an individual health care provider with primary practice located at 560 W Main St Suite 101, Lewisville TX 75057-3629. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Lee, Tae Young can be contacted via phone (972) 221-1741.

Contact Information

Primary practice address
560 W Main St Suite 101 Lewisville TX 75057-3629
Phone: (972) 221-1741
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X M8787 Texas
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X M8787 Texas

Profile Details

NPI number 1235333402
LBN Legal business name Lee, Tae Young
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Mar 28th, 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 1235333402 NPPES
Other BP2-0022474 INSTITUTIONAL PERMIT

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