Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | G51697 | CA |
Y | 2080P0205X | Pediatric Endocrinologist | H5915 | TX |
N | 2080P0205X | Pediatric Endocrinologist | MD-7663 | HI |
NPI | 1437277969 |
---|---|
Provider Name | Dr. Phillip Dukeal Kwaiyuen Lee |
First Address | Galveston, TX 77555-5302 |
Second Address | Galveston, TX 77555-5302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 02/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E48710 | (02) |