Provider Demographics
NPI:1144513169
Name:LEE E. EMORY M D & ASSOCIATES PA
Entity type:Organization
Organization Name:LEE E. EMORY M D & ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:EMORY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-763-0016
Mailing Address - Street 1:1103 ROSENBERG ST
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-4408
Mailing Address - Country:US
Mailing Address - Phone:409-763-0016
Mailing Address - Fax:409-763-2969
Practice Address - Street 1:1103 ROSENBERG ST
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-4408
Practice Address - Country:US
Practice Address - Phone:409-763-0016
Practice Address - Fax:409-763-2969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty