DR. LEE A. TISDALE

Address: 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
Phone: 9727155000

DR. LEE A. TISDALE (NPI# 1528045929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528045929
Entity Type 1 - Individual
Full Name DR. LEE A. TISDALE
Credential DO
Practice Address 6606 Lbj Fwy
Suite 200
Dallas
TX 75240-6533
Mailing Address Po Box 650865
Dallas
TX 75265-0865
Practice Telephone 9727155000
Practice Fax Number 9727159976
Enumeration Date 12/27/2005
Last Update Date 11/02/2015
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology J8148 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RR P01331283 01
TX 129005807 05
TX 129005809 05
TX BCBS 8EH575 01

Office Location

Street Address 6606 LBJ FWY
SUITE 200
City DALLAS
State TX
Zip Code 75240-6533

Providers with the same location

NPI Name Address
1306849690 THADDEUS ASHMORE 6606 Lbj Fwy, 200, Dallas, TX 75240-6533
1881697159 CHESTER W BEYER JR. 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1659375996 DR. WILLIAM CHAD CONNER 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1164426409 JAMES L DIRTING 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1225032568 STEPHEN DONICA 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1124020342 DR. SANG HYUP CHAE-KIM 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1689676744 JOHN HERNDON III 6606 Lbj Fwy, Ste 200, Dallas, TX 75240-6533
1972508257 SERGIO MURILLO 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1598760878 DR. ROBERT PARKS JR. 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533
1639174857 MICHAEL RAMSAY 6606 Lbj Fwy, Suite 200, Dallas, TX 75240-6533

Competitor

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City DALLAS
Zip Code 75240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.