Un Chan Lee, CAA | |
9835 N Lake Creek Pkwy, Austin, TX 78717-6210 | |
(737) 229-2000 | |
Not Available |
Full Name | Un Chan Lee |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 9835 N Lake Creek Pkwy, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104670181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
---|---|
Un Chan Lee, CAA 10309 Hatton Ln, Austin, TX 78754-5523 Ph: (214) 779-0880 | Un Chan Lee, CAA 9835 N Lake Creek Pkwy, Austin, TX 78717-6210 Ph: (737) 229-2000 |
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