Provider Demographics
NPI:1902267396
Name:LEE, HOWARD DER-HAW (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DER-HAW
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3551 ROGER BROOKE DRIVE
Mailing Address - Street 2:QUALITY SERVICES/ATTN: MCHE-ZQQ
Mailing Address - City:JBSA FT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234-4504
Mailing Address - Country:US
Mailing Address - Phone:210-916-9817
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR. SAN ANTONIO MILITARY MEDICAL CENT
Practice Address - Street 2:INTERNAL MEDICINE RESIDENCY,
Practice Address - City:JBSA-FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234-4504
Practice Address - Country:US
Practice Address - Phone:210-292-5077
Practice Address - Fax:210-292-7868
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE30683207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine