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DR. SAMUEL C. LEE PA NPI 1861677700


NPI Information

NPI: 1861677700
Provider Name: DR. SAMUEL C. LEE, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D0932595

Address:
800 8TH AVE STE 528
FORT WORTH, TX
ZIP 76104
Phone: (817) 625-8818
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DR. SAMUEL C. LEE, PA is a family medicine in Fort Worth, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. SAMUEL C. LEE, PA NPI is 1861677700. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 8TH AVE STE 528
FORT WORTH, TX
ZIP 76104-604
Phone: (817) 625-8818
Fax: (817) 625-7850

The provider's authorized official is Shelly Shea .
The authorized official title is Enrollment Specialist and has the following contact phone number (817) 484-6274.

The CLIA number assigned to this NPI record is 45D0932595 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/9/2008 and was last updated on 11/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineK0107TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.