Individual
SAMANTHA DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 220-8200
Mailing address
10313 BANKHEAD DR, AUSTIN, TX 78747-1719
(512) 636-8883
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
1134245
TX
Other
Enumeration date
07/05/2023
Last updated
08/29/2023
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