Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Song Young Lee, MD

Individual provider Adult Medicine Physician · NPI 1194753319

Dr. Song Young Lee, MD is a Family Practice in Colleyville, Texas. Qualified in 1994, 32 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
32
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6220 Colleyville Blvd Ste B
Colleyville, TX 76034-6278
Phone: (817) 416-0525
Fax: (817) 416-5831
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence K6877 (TX)

Record details

NPI number1194753319
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2006
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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