Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 1113769 | TX |
NPI | 1346294162 |
---|---|
Provider Name | Debbie K Lee |
First Address | Houston, TX 77027-7313 |
Second Address | Houston, TX 77027-7313 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 28/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0085185 | BLUE LINK NUMBER (01) | TX |
1113769 | PHYSICAL THERAPY LICENSE (01) | TX |
8T3395 | BCBS PROVIDER NUMBER (01) | TX |
P00150148 | RAILROAD MEDICARE PROVIDE (01) | TX |