Doctor Name: | LEE BABBEL |
NPI Number: | 1659798973 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O |
License Number: | 1382 |
Business Practice Address: | 2200 Berquist Dr Suite 1, Jbsa Lackland Afb San Antonio, TX - 782365300 |
Business Phone Number: | 2109169351 |
Business Fax Number: | 2109168712 |
Mailing Address: | 2200 Berquist Dr, Suite 1, Jbsa Lackland Afb SAN ANTONIO |
State: | TX |
Postal Code: | 782365300 |
Phone Number: | 2109169351 |
Fax Number: | 2109168712 |
NPI Enumeration Date: | 03/25/2014 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1382 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |