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Individual
SAMANTHA RILEY PREWITT
Active
Individual
SAMANTHA RILEY PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
T8477
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
T8477
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2018
Last updated
06/23/2025
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