Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | A90952 | CA |
Y | 207U00000X | Nuclear Medicine Specialist | N0204 | TX |
NPI | 1780839183 |
---|---|
Provider Name | Daniel Lee |
First Address | Houston, TX 77030-2703 |
Second Address | Houston, TX 77030-2703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/11/2008 |
Last Update Date | 26/11/2008 |