Michael Robert Lee, MD

Surgery, Plastic and Reconstructive Surgery in Dallas, TX. Individual provider (NPI-1).

NPI number1265635866

StatusActive

Last updated in NPPESMay 9, 2017

Details

NPI: 1265635866
Entity type: Individual (NPI-1)
Name: Michael Robert Lee
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 9, 2007
Last updated: May 9, 2017

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2086S0122X	Surgery, Plastic and Reconstructive Surgery	MD.205962	LA	Yes
207YS0123X	Otolaryngology, Facial Plastic Surgery	MD.205962	LA
2086S0122X	Surgery, Plastic and Reconstructive Surgery	M7367	TX

Practice location

4311 Oak Lawn Ave
Dallas, TX 75219-2315

Phone 469-730-2831 · Fax 469-730-2695

Mailing address

4311 Oak Lawn Ave
Dallas, TX 75219-2315

Phone 469-730-2831 · Fax 469-730-2695

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Other Plastic and Reconstructive Surgery Physician providers in Dallas, TX

All 75 Plastic and Reconstructive Surgery Physician providers in Dallas · All 47,373 providers in Dallas

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