| Lee Family Practice Associates Pa | |
|
1505 Winding Way Dr Ste 218 Friendswood TX 77546-5395 | |
| (281) 482-5551 | |
| (281) 482-0995 |
| Full Name | Lee Family Practice Associates Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1505 Winding Way Dr Ste 218, Friendswood, Texas |
| Authorized Official Name and Position | William O Lee (OWNER) |
| Authorized Official Contact | 2818652031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Family Practice Associates Pa 11 Windcreek St Friendswood TX 77546-5656 Ph: (281) 865-2031 | Lee Family Practice Associates Pa 1505 Winding Way Dr Ste 218 Friendswood TX 77546-5395 Ph: (281) 482-5551 |
| NPI Number | 1023281680 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 11/01/2013 |
| Medicare PECOS PAC ID | 1850464231 |
|---|---|
| Medicare Enrollment ID | O20080717000577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023281680 | NPI | - | NPPES |
| 115123502 | Medicaid | TX | |
| 1174500144 | Other | NPI | |
| I26646 | Other | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L9413 (Texas) | Primary |
| Provider Name | William Oliver Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174500144 PECOS PAC ID: 0941256325 Enrollment ID: I20050329000757 |
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