Dr Mark S Lee, MD | |
5400 Kell West Blvd, Texoma Cancer Center, Wichita Falls, TX 76310-1610 | |
(940) 691-8271 | |
(940) 692-2042 |
Full Name | Dr Mark S Lee |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 5400 Kell West Blvd, Wichita Falls, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104930312 | NPI | - | NPPES |
127964809 | Medicaid | TX | |
200057390A | Medicaid | OK | |
127964810 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | G3547 (Texas) | Primary |
Entity Name | Texas Oncology Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
Entity Name | Etmc Physician Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark S Lee, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Mark S Lee, MD 5400 Kell West Blvd, Texoma Cancer Center, Wichita Falls, TX 76310-1610 Ph: (940) 691-8271 |
Dr. Fayyaz H Mirza, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 808 Brook Ave, Wichita Falls, TX 76301 Phone: 940-766-0217 Fax: 940-766-0730 | |
Joyce J Ritchie, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 808 Brook Ave, Wichita Falls, TX 76301 Phone: 940-766-0217 Fax: 940-766-0730 | |
Dr. Frederic Orville Farrell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Barcelona Ct, Wichita Falls, TX 76308 Phone: 940-691-4937 | |
David R Spencer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 808 Brook Ave, Wichita Falls, TX 76301 Phone: 940-766-0217 Fax: 940-766-0730 | |
Dr. William Lewis Tidmore, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 149 Hart St, Suite #5, Wichita Falls, TX 76311 Phone: 940-676-1886 | |
Dr. Douglas Miner, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 501 Midwestern Pkwy E, Wichita Falls, TX 76302 Phone: 940-766-3551 Fax: 940-766-8793 |