Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | P0754 | TX |
Y | 208600000X | Surgeon | P0754 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | P0754 | TX |
NPI | 1083945968 |
---|---|
Provider Name | Dr. Edward Ilho Lee |
First Address | Houston, TX 77019-2002 |
Second Address | Houston, TX 77019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2010 |
Last Update Date | 22/02/2019 |