Lee Haak MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2296 Issued in TX

Legal business name

LEE HAAK MD PA

Practice address

5875 N Major Dr
Ste 134
Beaumont, TX 77713

Phone

(409) 860-5855

Fax

(409) 860-9701

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lee W Haak, MDNPI 1104803923

Title

President

Phone

(409) 860-5855

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee W Haak, MD

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1104803923
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1568598142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 N MAJOR DR",
            "address_2": "STE 134",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777139034",
            "telephone_number": "409-860-5855",
            "fax_number": "409-860-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 N MAJOR DR",
            "address_2": "STE 134",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77713",
            "telephone_number": "409-860-5855",
            "fax_number": "409-860-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HAAK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "HAAK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-860-5855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176571101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Leblanc, PHARM D.
• Richard J Leblanc, DDS
• Kellie Leday
• Kimberly Ann Ledom, LVN
• Michael Paul Leduc
• Amy Michelle Lee, RN
• Mercedes Lee, BCBA
• Shung Man Kurt Lee, MD
• Cheryl Marie Leemhuis, PTA
• Legacy Community Health Services, Inc

• Family Medicine Physician in Beaumont, TX
• Providers in Beaumont, 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 Jun 5, 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.