Provider Demographics
NPI:1871784967
Name:LEE, BENJAMIN SWEE LENG (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:SWEE LENG
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1521 S STAPLES ST STE 601
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3154
Mailing Address - Country:US
Mailing Address - Phone:361-887-8451
Mailing Address - Fax:
Practice Address - Street 1:1521 S STAPLES ST STE 601
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3154
Practice Address - Country:US
Practice Address - Phone:361-887-8451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.200918207RN0300X
TXP5668207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05888700Medicaid
TX318716301Medicaid
LA1507954Medicaid
TX278902YQ0AMedicare PIN
LA1507954Medicaid
TX318716301Medicaid