Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | M2377 | TX |
NPI | 1134127764 |
---|---|
Provider Name | Kenneth Jiann-Hung Lee |
First Address | Dallas, TX 75303-1528 |
Second Address | Sugar Land, TX 77479 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 20/11/2020 |