Individual provider · NPI-1

Dr. Charles H. Lee, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Tyler, TX

NPI number1245338748

StatusActive

Last updated in NPPESDec 27, 2012

Details

NPI: 1245338748
Entity type: Individual (NPI-1)
Name: Dr. Charles H. Lee
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Sep 20, 2006
Last updated: Dec 27, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)	F9722	TX	Yes

Practice location

1000 E 5th St Ste 400
Tyler, TX 75701-3362

Phone 903-595-6680 · Fax 903-592-1934

Mailing address

1000 E 5th St Ste 400
Tyler, TX 75701-3362

Phone 903-595-6680 · Fax 903-592-1934

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