Provider Demographics
NPI:1851734784
Name:LEE, SEUNG HEE SUZIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SEUNG HEE
Middle Name:SUZIE
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST STE 950
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2064
Mailing Address - Country:US
Mailing Address - Phone:214-820-2050
Mailing Address - Fax:214-818-6491
Practice Address - Street 1:3410 WORTH ST STE 950
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2064
Practice Address - Country:US
Practice Address - Phone:214-820-2050
Practice Address - Fax:214-818-6491
Is Sole Proprietor?:No
Enumeration Date:2013-04-10
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018014586208600000X, 204F00000X
TXS9020204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS9020OtherTX MEDICAL LICENSE