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Individual
MISS SAMANTHA STEINIS
Active
Individual
MISS SAMANTHA STEINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09703
TX
363AS0400X
Surgical Physician Assistant
085004946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374300701
—
TX
05
—
374300702
—
TX
01
—
587304YMAF
MEDICARE
TX
01
—
587304YNSX
MEDICARE
TX
01
—
75-0818167-022
TRICARE
TX
01
—
75-2616977-001
TRICARE
TX
01
—
75-2616977-002
TRICARE
TX
01
—
75-2616977-007
TRICARE
TX
01
—
75-2616977-028
TRICARE
TX
01
—
75-2616977-129
TRICARE
TX
01
—
8GY028
BCBS
TX
01
—
P01878823
MEDICARE RAIL ROAD
TX
01
—
P01878870
MEDICARE RAIL ROAD
TX
Enumeration date
01/09/2014
Last updated
11/10/2017
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