Provider Demographics
NPI:1316911233
Name:LEE, BILL RAY (MD)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:RAY
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:514 SOUTH BONHAM
Mailing Address - Street 2:SUITE D
Mailing Address - City:MEXIA
Mailing Address - State:TX
Mailing Address - Zip Code:76667-3664
Mailing Address - Country:US
Mailing Address - Phone:254-562-9321
Mailing Address - Fax:254-562-2813
Practice Address - Street 1:2203 W LAMPASAS ST
Practice Address - Street 2:SUITE 211
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-5644
Practice Address - Country:US
Practice Address - Phone:972-875-3997
Practice Address - Fax:972-875-2545
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2012-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXD9536207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX116274504Medicaid
TX8D6376Medicare ID - Type Unspecified
TXP00224779Medicare PIN
TX116274504Medicaid