Dr Charles H Lee, MD | |
1000 E 5th St Ste 400, Tyler, TX 75701-3362 | |
(903) 595-6680 | |
(903) 592-1934 |
Full Name | Dr Charles H Lee |
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Gender | Male |
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
Location | 1000 E 5th St Ste 400, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245338748 | NPI | - | NPPES |
8G4080 | Other | TX | BLUECROSS BLUESHIELD TX |
042414502 | Medicaid | TX | |
780002190 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | F9722 (Texas) | Primary |
Entity Name | East Texas Medical Center Healthcare Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles H Lee, MD 1000 E 5th St Ste 400, Tyler, TX 75701-3362 Ph: (903) 595-6680 | Dr Charles H Lee, MD 1000 E 5th St Ste 400, Tyler, TX 75701-3362 Ph: (903) 595-6680 |
Andrea C Cooley, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701 Phone: 903-595-6680 Fax: 903-592-1934 | |
Dr. William R. Powell, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St, Tyler, TX 75702 Phone: 903-525-2992 Fax: 903-592-1934 | |
Dr. Wendell S Phillips, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701 Phone: 903-595-6680 Fax: 903-592-1934 | |
Herbert D Short Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 910 East Houston, Ste 530, Tyler, TX 75702 Phone: 903-525-2992 | |
Dr. Tyrone M Galbreath, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701 Phone: 903-595-6680 | |
James A. Caccitolo, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701 Phone: 903-606-7525 |