Jerome Lee Sang Md, Pa in Portland - Internal Medicine
Jerome Lee Sang Md, Pa - NPI 1194889105
Jerome Lee Sang Md, Pa is a Internal Medicine in Portland, Texas. Jerome Lee Sang Md, Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerome Lee Sang Md, Pa is 1194889105. The last update date is 2010-06-30.
Jerome Lee Sang Md, Pa's current location address is 107 Cedar Dr, Portland, Texas. You can contact this provider via phone number 3616436623. The mailing address for Jerome Lee Sang Md, Pa is 107 Cedar Dr, Portland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerome Lee Sang Md, Pa |
|---|---|
| Address | 107 Cedar Dr, Portland, Texas |
| Phone Number | 3616436623 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lee Sang Jerome |
| Credentials | MD |
| Telephone Number | 3616436623 |
NPI Number Detail
| NPI Number | 1194889105 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2010-06-30 |
Provider Mailing Address Detail
| Address | 107 Cedar Dr |
|---|---|
| City | Portland |
| State | Texas (TX) |
| Post Code | 78374 |
| Phone Number | 3616436623 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147440501 | TX | -- | |
| 00924R | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerome Lee Sang Md, Pa?
The Jerome Lee Sang Md, Pa has been issued the NPI (National Provider Identifier) 1194889105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jerome Lee Sang Md, Pa located?
The Jerome Lee Sang Md, Pa is located at 107 Cedar Dr, Portland, TX 78374.
What is Jerome Lee Sang Md, Pa's area of expertise and its corresponding taxonomy classification?
The Jerome Lee Sang Md, Pa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194889105 to Jerome Lee Sang Md, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1194889105 to Jerome Lee Sang Md, Pa on 2006-12-21.
As of what date were the details pertaining to Jerome Lee Sang Md, Pa last refreshed?
The information related to the Jerome Lee Sang Md, Pa, including its address, specialty, and other relevant details, was last updated on 2010-06-30.