Provider Demographics
NPI:1093212821
Name:LEE, ABRAHAM HEE KWON (DO)
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:HEE KWON
Last Name:LEE
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:346-553-2972
Mailing Address - Fax:346-200-3459
Practice Address - Street 1:9645 BARKER CYPRESS RD STE 100
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5292
Practice Address - Country:US
Practice Address - Phone:346-553-2972
Practice Address - Fax:346-200-3459
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10063877207R00000X
IL125078293207RC0000X
TXU8376207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine