Provider Demographics
NPI:1619595774
Name:PAGING DR. LEE, PLLC
Entity type:Organization
Organization Name:PAGING DR. LEE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MIZELLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:646-338-4437
Mailing Address - Street 1:4501 CARTWRIGHT RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3537
Mailing Address - Country:US
Mailing Address - Phone:832-947-3867
Mailing Address - Fax:
Practice Address - Street 1:4501 CARTWRIGHT RD STE 104
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3537
Practice Address - Country:US
Practice Address - Phone:832-947-3867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty