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

Kwanoo Lee

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1164084240

Kwanoo Lee is a Podiatry in Houston, Texas. Graduated from Barry University School of Podiatric Medicine in 2019, 7 years ago. Practices with Foot and Ankle Center of North Houston P A, a 10-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Trained at
Barry University School of Podiatric Medicine
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

17215 Red Oak Dr Ste 102
Houston, TX 77090-2611
Phone: (281) 444-4114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 692080 (TX)

Record details

NPI number1164084240
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 28, 2019
Last updated in NPPESAugust 18, 2023
Certification dateAugust 14, 2023
Mailing address17215 Red Oak Dr, Houston, TX 77090-2697

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Foot And Ankle Center Of North Houston P A — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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