SAM SEUNGHAE AHN, MD,PA
Radiology at Colorado Blvd, Dallas, TX

License number
Texas F1333
Category
Radiology
Type
Vascular Surgery
Owner
Name: SAM SEUNGHAE AHN MD
Title: OWNER
Phone: (214) 946-5165
Address
Address
221 W Colorado Blvd SUITE 625, Dallas, TX 75208
National Provider ID: 1932150182
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SAM SEUNGHAE AHN, MD, PA

221 W Colorado Blvd STE 625, Dallas, TX 75208

Doing business as:
Sam Seunghae Ahn, MD, PA
Registration:
Dec 22, 2005
State ID:
0800588807
Business type:
Professional Association
Executive Committee, Secretary, Member, President:
Sam S. Ahn (Executive Committee, Secretary, Member, President)
Agent:
Sam S Ahn,221 W Colorado Blvd STE 625, Dallas, TX 75208 (Physical)
TIN:
32035268336

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