Individual provider · Type 1 NPI

Taek-Soo Lee

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1194510941 Active

Practice location

5323 Harry Hines Blvd Stop 7200
Dallas, TX 75390-7200

Mailing address

12907 Innisbrook Dr
Beltsville, MD 20705-5104

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194510941

Taek-Soo Lee's National Provider Identifier is 1194510941, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 11, 2025.