Organization
PARK CITIES COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ROBERT LEE M.D. (OWNER/CEO)
(469) 730-2831
Entity
Organization
Contact information
Practice address
4311 OAK LAWN AVE, SUITE 365, DALLAS, TX 75219-2315
(469) 730-2831
Mailing address
4311 OAK LAWN AVE, SUITE 365, DALLAS, TX 75219-2315
(469) 730-2831
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
M7367
TX
Other
Enumeration date
04/14/2016
Last updated
11/29/2016
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