Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | Q9184 | TX |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | Q9184 | TX |
NPI | 1386935922 |
---|---|
Provider Name | Yein Lee |
First Address | Fort Worth, TX 76199-0335 |
Second Address | Fort Worth, TX 76107-2553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2011 |
Last Update Date | 27/07/2016 |