Jack Lee
Jack Lee is a Student in an Organized Health Care Education/Training Program in Fort Worth, Texas. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
900 8th AveFort Worth, TX 76104-3902
Phone: (817) 347-1140
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1578144044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 16, 2021 |
| Last updated in NPPES | April 16, 2021 |
| Certification date | March 19, 2021 |
| Mailing address | 900 8th Ave, Fort Worth, TX 76104-3902 |
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