Lee J Friend MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4790 Issued in TX

Legal business name

LEE J FRIEND MD PA

Practice address

1200 Wallace Blvd
Suite C
Amarillo, TX 79106-1741

Phone

(806) 359-9000

NPI assigned

Dec 10, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tameisha Buchanan

Title

Credentialing Associate

Phone

(713) 554-5302

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1407039738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1759 DEPT. 952",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772511759",
            "telephone_number": "713-554-5302",
            "fax_number": "713-554-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WALLACE BLVD",
            "address_2": "SUITE C",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061741",
            "telephone_number": "806-359-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE J FRIEND MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "TAMEISHA",
        "authorized_official_title_or_position": "CREDENTIALING ASSOCIATE",
        "authorized_official_telephone_number": "713-554-5302",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0018NG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "D48564",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177651001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amadeo Esequiel Ledesma, PT
• Ledford Medical PLLC
• William A Ledford, FNP
• Lee Bivins Foundation
• Lee J Friend MD PA
• Lee Shuwarger, OD PC
• Andrew Lee, MD
• Dorothy L Lee, CRNA
• Jong Hyung Lee
• Nam K Lee, MD

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.