Pailes, Mary Samantha

Pailes, Mary Samantha is an individual health care provider with primary practice located at 620 North Kimball Avenue Suite100, Southlake TX 76092-6173. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pailes, Mary Samantha can be contacted via phone (817) 328-8376.

Contact Information

Primary practice address
620 North Kimball Avenue Suite100 Southlake TX 76092-6173
Phone: (817) 328-8376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 709408 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 709408 Texas

Profile Details

NPI number 1528498433
LBN Legal business name Pailes, Mary Samantha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2013
Last updated Aug 29th, 2023 - 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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