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Jae Lee is one of 482 diagnostic radiologists practicing in Dallas, Texas .
Jae Lee practices with Garden State Healthcare Associates LLC.
Registry record (NPPES)
NPI
1235499229
Type
Type 1 · Individual
Primary taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Address on file
350 W Thomas Rd Phoenix, AZ 85013 (602) 406-3874
Enumerated
May 23, 2012
Record last updated
Oct 21, 2025
License states listed
AZ, TN, TX
Medicare (CMS)
Enrollment
Medicare-enrolled in FL, NE, NJ, TN, TXDiagnostic Radiology
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
1649 Glenlivet Dr
Dallas , TX 75218
(201) 821-8704
More diagnostic radiologists in Dallas
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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