Provider Demographics
NPI:1376687004
Name:LEE, MIRIAM E (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRIAM
Middle Name:E
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0848
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:14841 DALLAS PKWY
Practice Address - Street 2:SUITE 440
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7685
Practice Address - Country:US
Practice Address - Phone:214-854-3124
Practice Address - Fax:214-854-3133
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA103705207L00000X
IN01068612B207L00000X
TXP2889207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology