Nix, Samuel Allen

Nix, Samuel Allen is an individual health care provider with primary practice located at 3809 E 9Th St Ste 15 , Texarkana AR 71854-5818. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Nix, Samuel Allen can be contacted via phone (870) 621-0080.

Contact Information

Primary practice address
3809 E 9Th St Ste 15 Texarkana AR 71854-5818
Phone: (870) 621-0080
Fax: (870) 621-0081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A004574 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP127398 Texas

Profile Details

NPI number 1780075473
LBN Legal business name Nix, Samuel Allen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2015
Last updated May 24th, 2024 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1780075473 NPPES
Arkansas MEDICAID 211556758

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