Lee, Shung Man Kurt

Lee, Shung Man Kurt is an individual health care provider with primary practice located at 2965 Harrison St Ste 222, Beaumont TX 77702-1100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Lee, Shung Man Kurt can be contacted via phone (409) 892-1003.

Contact Information

Primary practice address
2965 Harrison St Ste 222 Beaumont TX 77702-1100
Phone: (409) 892-1003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G2419 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G2419 Texas

Profile Details

NPI number 1386610103
LBN Legal business name Lee, Shung Man Kurt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386610103 NPPES
Texas MEDICAID 114705002

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