PAUL JAW-SHYANG LEE DO NPI 1710075239

NPI Information

NPI: 1710075239
Provider Name: PAUL JAW-SHYANG LEE, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: TEXOMA EMERGENCY PHYSICIANS PLLC

PECOS Registration: Yes

Address:
855 MONTGOMERY
FORT WORTH, TX
ZIP 76107
Phone: (817) 920-6300
Get Directions

Paul Jaw-shyang Lee, DO is a family medicine in Fort Worth, TX with 25 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Paul Jaw-shyang Lee, DO NPI is 1710075239. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

855 MONTGOMERY
FORT WORTH, TX
ZIP 76107-553
Phone: (817) 920-6300

The NPI 1710075239 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 3/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		L4521	TEXAS	No
2	207Q00000X	Family Medicine		L4521	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8EX921	OTHER	TEXAS	BCBS
2	156295111	MEDICAID	TEXAS
3	8K7529	MEDICARE PIN	TEXAS
4	139342101	OTHER	TEXAS	FIRSTCARE INDIVIDUAL #
5	8BQ000	OTHER	TEXAS	BCBS
6	349883YT1D	MEDICARE PIN	TEXAS
7	0027NK	OTHER	TEXAS	BCBS
8	H78243	MEDICARE UPIN	TEXAS
9	156295110	MEDICAID	TEXAS
10	156295117	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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