Samuelson, Todd E.

Samuelson, Todd E. is an individual health care provider with primary practice located at 1250 8Th Ave Suite 205, Fort Worth TX 76104-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Samuelson, Todd E. can be contacted via phone (817) 335-8151.

Contact Information

Primary practice address
1250 8Th Ave Suite 205 Fort Worth TX 76104-4158
Phone: (817) 335-8151
Fax: (817) 926-2531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X H2007 Texas

Profile Details

NPI number 1942308119
LBN Legal business name Samuelson, Todd E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jun 21st, 2012 - about 13 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 1942308119 NPPES
Texas Other P01034921 RAILROAD MEDICARE
Texas MEDICAID 130524508 RAILROAD MEDICARE

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