Active NPI
Bill Ray Lee, MD
- Family Medicine Physician
- Ennis, TX
National Provider Identifier
1316911233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D9536
- Practice address
- 2203 W Lampasas St
Suite 211
Ennis, TX 75119-5644 - Phone
- (972) 875-3997
- Fax
- (972) 875-2545
- NPI assigned
- Feb 15, 2006
- Last updated
- Apr 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D9536 | TX | Primary |
Addresses
Primary practice location
2203 W Lampasas St
Suite 211
Ennis, TX 75119-5644
Mailing address
514 South Bonham
Suite D
Mexia, TX 76667-3664
Phone (254) 562-9321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116274504 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9536 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Past | Accepting new patients | |
| Trinity Clinic | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Nurse Practitioner
- Tyler, TX
- NPI 1942250998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1316911233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 SOUTH BONHAM",
"address_2": "SUITE D",
"city": "MEXIA",
"state": "TX",
"postal_code": "766673664",
"telephone_number": "254-562-9321",
"fax_number": "254-562-2813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 W LAMPASAS ST",
"address_2": "SUITE 211",
"city": "ENNIS",
"state": "TX",
"postal_code": "751195644",
"telephone_number": "972-875-3997",
"fax_number": "972-875-2545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BILL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D9536",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116274504",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ennis, TX
- Larry W Dunkerley DPM PC
- Larry W. Treadaway, D.D.S., Inc.
- Danny Blayne Laws, M.D.
- Stephanie Leeann Leal, DPT
- Carol Elaine Leamon, SPEECH PATHOLOGIST
- Legend Oaks - Ennis, LLC (Legend Oaks Healthcare and Rehabilitation - Ennis)
- Felicia Lenora Lewis, M.D.
- Jasmine Virginia Lewis, APRN
- Liberty Therapy, P.a.
- Living Single LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.