Organization
DR. SAMUEL C. LEE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY SHEA (ENROLLMENT SPECIALIST)
(817) 484-6274
Entity
Organization
Contact information
Practice address
800 8TH AVE STE 528, FORT WORTH, TX 76104-2604
(817) 625-8818
(817) 625-7850
Mailing address
800 8TH AVE STE 528, FORT WORTH, TX 76104-2604
(817) 625-8818
(817) 625-7850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K0107
TX
Other
Enumeration date
01/09/2008
Last updated
11/06/2020
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