Provider Demographics
NPI:1679515530
Name:AUNG, THOMAS LEE (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:LEE
Last Name:AUNG
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:12201 RENFERT WAY
Practice Address - Street 2:SUITE 245
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5368
Practice Address - Country:US
Practice Address - Phone:512-873-8900
Practice Address - Fax:512-834-8676
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0412207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX830008210OtherRAILROAD MEDICARE PROVIDE
TXP00646007OtherRAILROAD MEDICARE
TX030214304Medicaid
TX030214305Medicaid
TX8BP221OtherBCBS OF TX
TX030214303Medicaid
TX830008210OtherRAILROAD MEDICARE PROVIDE
TXH12202Medicare UPIN
TX8L1678Medicare PIN
TX030214305Medicaid