Provider / Organization | NPI | Date Certified |
---|---|---|
JASON SCOTT LEE | 1275118499 | 2021-03-10 |
Jason Scott Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275118499. Registration indicates Jason Scott Lee is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Jason Scott Lee PA-C |
Practice Office Address | 1900 MATLOCK RD MANSFIELD, TX US |
Practice Office Telephone | 6826280277 |
Mailing Address | 207 CRENSHAW DR MANSFIELD, TX 760633451 US |
Business Telephone | 2543712542 |
Address | City / State | Phone / Fax |
---|---|---|
4100 Wildbriar Ln | Mansfield, TX 760636760 | 2543712542 |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA14476
TX |