Mr. Dwight Augustus Lee
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology Surgical Oncologist
1130 Beachview St Suite 240
Dallas
, Texas 75218-3629
Mr. Dwight Augustus Lee
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology Surgical Oncologist
1130 Beachview St Suite 240
Dallas
, Texas 75218-3629
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Mr. Dwight Augustus Lee
- 9518 Dove Meadow Dr
- Dallas, TX
- Zip : 75243-6208
- Phone :
Second Address
- Mr. Dwight Augustus Lee
- 1130 Beachview St Suite 240
- Dallas, TX
- Zip : 75218-3629
- Fax : (214) 324-0693
- Phone : (214) 324-0418
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | G0753 | TX |
| N | 207YP0228X | Pediatric Otolaryngology | G0753 | TX |
| N | 2086X0206X | Surgical Oncologist | G0753 | TX |
National Provider Identifier
| NPI | 1932191608 |
|---|---|
| Provider Name | Mr. Dwight Augustus Lee |
| First Address | Dallas, TX 75243-6208 |
| Second Address | Dallas, TX 75218-3629 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2005 |
| Last Update Date | 17/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C18269 | (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.