Dr Jeffrey Joon Taek Lee, MD | |
4401 Highway 6 S, College Station, TX 77845-4428 | |
(979) 690-4480 | |
(979) 690-4481 |
Full Name | Dr Jeffrey Joon Taek Lee |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4401 Highway 6 S, College Station, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811510563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | U0795 (Texas) | Primary |
Entity Name | St Joseph Regional Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey Joon Taek Lee, MD 4401 Highway 6 S, College Station, TX 77845-4428 Ph: (979) 690-4480 | Dr Jeffrey Joon Taek Lee, MD 4401 Highway 6 S, College Station, TX 77845-4428 Ph: (979) 690-4480 |
Kenneth E Matthews, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Rock Prairie Rd, Suite 340, College Station, TX 77845 Phone: 979-696-4440 Fax: 979-694-8500 | |
Neal Moreau Spears, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4401 Highway 6 S, College Station, TX 77845 Phone: 979-690-4480 Fax: 979-690-4481 | |
Patricia Whitehead Goen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1651 Rock Prairie Rd, #102, College Station, TX 77845 Phone: 979-693-7400 Fax: 979-693-7446 | |
Dr. Glenn Lee Lawrence, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 409-691-3300 | |
Dr. Veena Anand, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1602 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-693-7400 | |
Scott T Schams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1602 Rock Prairie Rd, Suite 340, College Station, TX 77845 Phone: 979-696-4440 Fax: 979-694-8500 | |
Dr. Dayne M. Foster, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 409-691-3300 |