Individual provider Active NPI

Eunkang Lee

  • Acute Care Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1285598920
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1190917 Issued in TX
Practice address
8230 Walnut Hill LN Ste 220
Dallas, TX 75231-4425
Phone
(214) 345-8692
Fax
(214) 345-0117
NPI assigned
Dec 15, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1190917 TX Primary

Addresses

Primary practice location

8230 Walnut Hill LN Ste 220
Dallas, TX 75231-4425

Mailing address

2910 Harwood Rd Apt 204I
Bedford, TX 76021-3784
Phone (803) 230-2250

Other practice location 1

2910 Harwood Rd Apt 204I
Bedford, TX 76021-3784
Phone (803) 230-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260505000446 TX Practitioner - Nurse Practitioner 9931677358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

8230 Walnut Hill LN
Suite 220
Dallas, TX 75231-4425
Phone (214) 345-8692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1190917TXMDAcute Care Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1285598920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 HARWOOD RD APT 204I",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213784",
            "telephone_number": "803-230-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 WALNUT HILL LN STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314425",
            "telephone_number": "214-345-8692",
            "fax_number": "214-345-0117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Harwood Rd Apt 204I",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "TX",
            "postal_code": "760213784",
            "country_code": "US",
            "telephone_number": "803-230-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUNKANG",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1190917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.