Jong O. Lee
Surgical Critical Care
815 Market St Medical Staff Office
Galveston
, Texas 77550-2725
Jong O. Lee
Surgical Critical Care
815 Market St Medical Staff Office
Galveston
, Texas 77550-2725
(409) 770-6919
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About
Features
Specialties
- Surgical Critical Care
Languages spoken
- English
Location
First Address
- Jong O. Lee
- 815 Market St Medical Staff Office
- Galveston, TX
- Zip : 77550-2725
- Fax : (409) 770-6919
- Phone : (409) 770-6731
Second Address
- Jong O. Lee
- 815 Market St Medical Staff Office
- Galveston, TX
- Zip : 77550-2725
- Fax : (409) 770-6919
- Phone : (409) 770-6731
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0102X | Surgical Critical Care | L8107 | TX |
National Provider Identifier
| NPI | 1174631295 |
|---|---|
| Provider Name | Jong O. Lee |
| First Address | Galveston, TX 77550-2725 |
| Second Address | Galveston, TX 77550-2725 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8718B7 | (05) | TX |
| H65205 | (02) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.