Individual
MR. SAMUEL K NDINJIAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 228-6348
(214) 456-6154
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 228-6348
(214) 456-6154
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06435
TX
363AS0400X
Surgical Physician Assistant
PA06435
TX
Other
Enumeration date
10/14/2009
Last updated
07/08/2010
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