LEE W HAAK (NPI# 1104803923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104803923 |
| Entity Type | Individual |
| Full Name | LEE W HAAK |
| Credential | MD |
| Practice Address |
5301 William D Tate Ave Grapevine TX 76051-7357 |
| Mailing Address |
110 E Savannah Ave Bldg B Suite 203 Mcallen TX 78503-9494 |
| Practice Telephone | 8172512101 |
| Practice Fax Number | 8174215041 |
| Mailing Telephone | 9566867611 |
| Mailing Fax Number | 9566183164 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2019-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L2296 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE | 740054 | 01 |
| TX | 146776321 | 05 | |
| TX | 146776307 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 E Savannah Ave Bldg B, Mcallen, TX 785031241 | 9566867611 | 9566183164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457651267 | Lee Haak | Pharmacist | 8071 Guide Meridian Rd, Lynden, WA 98264-9236 | 2010-10-26 |
| Street Address |
5301 WILLIAM D TATE AVE |
| City | GRAPEVINE |
| State | TX |
| Zip Code | 76051-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588900187 | Vista Rehab Partners, Lp | Physical Therapist | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2012-12-31 |
| 1770870198 | Roberto Gutierrez | Physical Therapy Assistant | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2011-07-06 |
| 1134410848 | Sherri L Powell | Physician Assistant | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2011-04-28 |
| 1912137977 | Angela K Wickstrum | Physician Assistant | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2009-07-23 |
| 1831268911 | Mary Steffens | Family Medicine | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2006-11-06 |
| 1356410435 | Tony Keeble | Family Medicine | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2006-11-06 |
| 1831131127 | Amy Louise Depue | Family Medicine | 5301 William D Tate Ave, Grapevine, TX 76051-7357 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227346 | Jeffrey Joseph Cervenka | Physical Therapist | 2421 Ira E Woods Ave #101, Grapevine, TX 76051 | 2020-02-12 |
| 1871137562 | Karen Lorince | Counselor | 2409 N. Support Road, Grapevine, TX 76051 | 2019-11-05 |
| 1548733785 | Jessica Thorman Johnson | Dietitian, Registered | 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 | 2019-01-10 |
| 1164928958 | Kristen Diou | Counselor | 913 S Church St Ste 103, Grapevine, TX 76051 | 2018-04-02 |
| 1356860597 | Anissa Singratanakul D.m.d, Pllc | Dentist | 1231 William D Tate Suite 400, Grapevine, TX 76051 | 2017-09-19 |
| 1033637665 | James Abraham Thomas | Pharmacy | 1601 W. State Hwy 114, Grapevine, TX 76051 | 2017-09-04 |
| 1437606563 | D'anna Sims | Counselor | 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 | 2016-09-07 |
| 1477006369 | Melinda Jeanne Mashburn | Nurse Practitioner | 1600 West College St., Suite 60, Grapevine, TX 76051 | 2016-07-27 |
| 1437506623 | Allcare Physicians Group | Registered Nurse | 1111 S Main St Ste 119, Grapevine, TX 76051 | 2016-05-18 |
| 1790141745 | Colwick Counseling | Clinic/Center | 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 | 2016-01-06 |
| Find all providers in zip 76051 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811418023 | Reclaim Physicians Medical Group Inc | Family Medicine | 913 S Main St Unit 212, Grapevine, TX 76051-7582 | 2017-06-28 |
| 1245664101 | Her Kare Physicians Group Pllc | Family Medicine | 312 W Northwest Hwy, Grapevine, TX 76051-3234 | 2013-08-28 |
| 1558658245 | North Texas Family Care Associates Pa | Family Medicine | 823 Ira E Woods Ave, Suite 200, Grapevine, TX 76051-4083 | 2011-07-01 |
| 1568629061 | Fiza Nazir | Family Medicine | 1643 Lancaster Dr Ste 203, Grapevine, TX 76051-3593 | 2008-05-21 |
| 1306003017 | North Dfw Urology LLP | Family Medicine | 1601 Lancaster Dr, Suite 100, Grapevine, TX 76051-2109 | 2008-05-20 |
| 1316137086 | Suneeta Sandeep Parmekar | Family Medicine | 4352 Bradford Dr, Grapevine, TX 76051-6706 | 2007-07-30 |
| 1952463572 | Margaret Zak | Family Medicine | 220 N Park Blvd Ste 114, Grapevine, TX 76051-6900 | 2006-12-14 |
| 1255350112 | Carleo A Capili | Family Medicine | 1501 W Northwest Hwy, Grapevine, TX 76051-3143 | 2006-07-19 |
| 1942226535 | Thomas George Mcintosh | Family Medicine | 1231 Mockingbird Dr, Grapevine, TX 76051-2812 | 2006-07-15 |
| 1558394965 | Priya M Philip | Family Medicine | 4100 Heritage Ave Ste 107, Grapevine, TX 76051-5716 | 2006-07-09 |
| Find all providers in GRAPEVINE | ||||
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| 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.