Samuel C Lee DO

NPI 1770508376 - Family Medicine - 207Q00000X

NPI Details
NPI 1770508376
Gender Male
Enumeration Date 07/13/2006
Last Updated 04/29/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
800 8TH AVE STE 528
FORT WORTH TX, 76104-2604, US
Phone (817) 625-8818
Fax (817) 625-7850
Business Location
800 8TH AVE STE 528
FORT WORTH TX, 76104-2604, US
Phone (817) 625-8818
Fax (817) 625-7850
Toxanomy
Taxonomy Code 207Q00000X
License State Texas
License Number K0107
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According to our database, Samuel C Lee DO NPI is 1770508376, taxonomy code is 207Q00000X and license number is K0107, license state is located at Texas. Samuel C Lee DO physically located at 800 8th Ave Ste 528, Fort Worth TX, 76104-2604. NPI Number Samuel C Lee DO has the Individual type.

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1770508376 NPI number is provided on an as is basis without warranty of any kind. 1770508376 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel C Lee DO are for informational purposes only.