Jimmy W.C. Lee, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

F1739 Issued in TX

Practice address

21216 Northwest Freeway
Ste 310
Cypress, TX 77429-4698

Phone

(281) 890-6155

Fax

(281) 894-2765

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384128000000",
    "number": "1104815547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER DR",
            "address_2": "STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21216 NORTHWEST FREEWAY",
            "address_2": "STE 310",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294698",
            "telephone_number": "281-890-6155",
            "fax_number": "281-894-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JIMMY",
        "middle_name": "W.C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2013-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "F1739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117276902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "225362",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leblanc Med Spa Clinic PLLC
• Kelsie Shevette Leblanc
• Abraham Hee Kwon Lee, DO
• Chun Yong Lee, M.D.
• Hyun-Chul Danny Lee, M.D.
• Kimberly Nicole Lee, RN
• Morgan Mae Lee, PHARMD
• Tammy Yen Cher Lee, MA, LPA, LPC
• Yiuchun Lee
• Tristan Leger

• Otolaryngology Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.