Samuel, Anna R

Samuel, Anna R is an individual health care provider with primary practice located at 5026 Pool Rd , Denison TX 75020-4595. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Samuel, Anna R can be contacted via phone (903) 465-3624.

Contact Information

Primary practice address
5026 Pool Rd Denison TX 75020-4595
Phone: (903) 465-3624
Fax: (903) 465-3973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 716738 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 364SA2100X 13998 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP124352 Texas

Profile Details

NPI number 1639312671
LBN Legal business name Samuel, Anna R
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2009
Last updated Jul 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639312671 NPPES
Texas MEDICAID 329130401
Texas MEDICAID 329130402
Texas Other 8515NF
Texas Other 331622YMGJ
Texas MEDICAID 329130404

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