Jerry Wade Lee in Lubbock - Psychiatric

Jerry Wade Lee - NPI 1336341254

Jerry Wade Lee is a Psychiatric in Lubbock, Texas. Jerry Wade Lee practices all healthcare services and medical treatments related to Psychiatric. The NPI Number for Jerry Wade Lee is 1336341254. The last update date is 2007-07-08.

Jerry Wade Lee's current location address is 1602 10th St, Lubbock, Texas. You can contact this provider via phone number 8067660310 and fax number 8067449580. The mailing address for Jerry Wade Lee is 1602 10th St, Lubbock, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Wade Lee
Address 1602 10th St, Lubbock, Texas
Phone Number 8067660310
Fax Number 8067449580
Sole Proprietor N
Credentials PHARMD

NPI Number Detail

NPI Number 1336341254
Provider Enumeration Date 2007-06-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1602 10th St
City Lubbock
State Texas (TX)
Post Code 794012607
Phone Number 8067660310
Fax Number 8067449580

Provider's Primary Taxonomy Detail

Speciality Psychiatric
Taxonomy 1835P1300X
Licence No 36271
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36271 TX LICENSE

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FAQs about Jerry Wade Lee

What is the unique 10-digit identifier code issued to Jerry Wade Lee by the Centers for Medicare & Medicaid Services?

The Jerry Wade Lee has been assigned the NPI (National Provider Identifier) 1336341254 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Jerry Wade Lee is physically located?

The Jerry Wade Lee is physically situated at the following address: 1602 10Th St, Lubbock, TX, 794012607.

What is Jerry Wade Lee's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerry Wade Lee is Psychiatric, and the taxonomy code that classifies this field of practice is 1835P1300X.

On what date did Jerry Wade Lee receive its 1336341254 assignment from the Centers for Medicare & Medicaid Services?

The Jerry Wade Lee was assigned its 1336341254 on 2007-06-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Jerry Wade Lee, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jerry Wade Lee, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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