Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | K7182 | TX |
Y | 213ES0000X | Sports Medicine | K7182 | TX |
NPI | 1306892203 |
---|---|
Provider Name | Dr. Shaun D Lehmann |
First Address | Tomball, TX 77377-1567 |
Second Address | The Woodlands, TX 77380-2175 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 21/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
146753202 | (05) | TX |
460517474 | TAX IDENTIFICATION NUMBER (01) | TX |
8H4600 | BLUE CROSS BLUE SHIELD (01) | TX |
H39253 | (02) | TX |