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1770508376
SAMUEL C LEE
FORT WORTH, TX
NPI
1770508376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: TX K0107)
Enumeration Date
2006-07-13
Last Update Date
2023-12-19
Business Address
SAMUEL C LEE DO
1412 MAY ST
FORT WORTH, TX 76104-7639
Phone number: 817-625-8818
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Mailing Address
SAMUEL C LEE DO
1412 MAY ST
FORT WORTH, TX 76104-7639
Phone number: 817-625-8818
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