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Albert C Lee, MD
Diagnostic Radiology Physician in Tyler, Texas
NPI 1316966971

Albert C Lee is a Diagnostic Radiology Physician based in Dallas, TX and is specialized in Diagnostic Radiology. Albert C Lee practices in Tyler, TX and has the professional credentials of MD. The NPI Number for Albert C Lee is 1316966971 and holds a License No. G58417 (Texas).

The current practice location address for Albert C Lee is 520 E Douglas Blvd, Tyler, TX and can be reached out via phone at 903-593-1721.

Location: 520 E Douglas Blvd, Tyler, TX, 75284-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316966971
Provider Name
Albert C Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
520 E Douglas Blvd, Tyler, TX, 75284-6098
Phone Number
903-593-1721
Fax Number
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196640002 05 TX
8CU212 01 TX BCBS JV LOCATION
196640001 05 TX
196640003 05 TX
TIN PLUS 113 01 TX TRICARE
196640004 05 TX
TIN PLUS 013 01 TX TRICARE
8BC077 01 TX BCBS OF TEXAS
8AP484 01 TX BCBS
TIN PLUS 005 01 TX TRICARE JV LOCATION
TIN PLUS 007 01 TX TRICARE
institution
Provider Business Practice Location Address Details
Address
520 E Douglas Blvd
City
Tyler
State
Texas
Zip
75702-8307
Phone Number
903-593-1721
Fax Number
person
Provider Business Mailing Address Details
Address
520 E Douglas Blvd
City
Tyler
State
Texas
Zip
75702-8307
Phone Number
903-593-1721
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
N0916 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G58417 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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