Organization
BRADLEY E. SAMUELSON, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI SAMUELSON (MANAGER)
(940) 687-7100
Entity
Organization
Contact information
Practice address
1004 BROOK AVE, WICHITA FALLS, TX 76301-5007
(940) 687-7100
(940) 687-7104
Mailing address
1004 BROOK AVE, WICHITA FALLS, TX 76301-5007
(940) 687-7100
(940) 687-7104
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
02/19/2008
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