Hackworth, Samuel
Hackworth, Samuel is an individual health care provider with primary practice located at 4601 Spicewood Springs Rd #4-200, Austin TX 78759-8598. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Hackworth, Samuel can be contacted via phone (512) 467-1376.Contact Information
Primary practice address
4601 Spicewood Springs Rd #4-200
Austin TX 78759-8598
Phone: (512) 467-1376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 31411 | Texas |
Profile Details
| NPI number | 1194928317 |
|---|---|
| LBN Legal business name | Hackworth, Samuel |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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