# SAM SEUNGHAE AHN, MD,PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932150182
- **Authorized official:** SAM SEUNGHAE AHN MD (OWNER)
- **Authorized official phone:** (214) 946-5165

## Contact information

- **Practice address:** 221 W COLORADO BLVD, SUITE 625, DALLAS, TX 75208-2363
- **Practice address phone:** (214) 946-5165
- **Practice address fax:** (214) 946-4876
- **Mailing address:** 221 W COLORADO BLVD, SUITE 625, DALLAS, TX 75208-2363
- **Mailing address phone:** (214) 946-5165
- **Mailing address fax:** (214) 946-4876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | F1333 | TX | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 12/20/2007