DFW Colon and Rectal Surgery, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

L6097 Issued in TX

Legal business name

DFW COLON AND RECTAL SURGERY, PA

Doing business as

Augustine J. Lee, MD

Practice address

10840 Texas Health TRL
200
Fort Worth, TX 76244-4897

Phone

(817) 753-7029

Fax

(817) 753-7039

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Donna S Long

Title

Office Manager

Phone

(817) 753-7029

Specialties & licenses 1

Addresses

Other names 1

• Augustine J. Lee, MD Doing business as

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1700931490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL",
            "address_2": "200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444897",
            "telephone_number": "817-753-7029",
            "fax_number": "817-753-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10840 TEXAS HEALTH TRL",
            "address_2": "200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444897",
            "telephone_number": "817-753-7029",
            "fax_number": "817-753-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW COLON AND RECTAL SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-753-7029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "L6097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Augustine J. Lee, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• DFW Critical Care LLC
• DFW Intra Op LLC
• DFW Massage Chair Rentals
• DFW Mental Healthcare Services, PLLC
• DFW N.E.T. LLC

• Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgery Physician in Texas

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

Verify at the official NPI Registry.