Most Relevant Information
Provider Data
| NPI Number: | 1003541863 |
| Provider Name: | VICTORIA LEE CPNP-AC/PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 1066631 |
Most Important Dates
| Enumeration Date: | 07/17/2022 |
| Last Updated: | 07/17/2022 |
Provider Practice Location
1935 MEDICAL DISTRICT DR
DALLAS
TX
752357701
Practice Location Phone/Fax
| Phone: | 2144567000 |
| Fax: |
Provider Mailing Location
7108 SERRANO DR
BENBROOK
TX
761262213
Provider Mailing Phone/Fax
| Phone: | 8174554855 |
| Fax: |