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Individual

DR. RAMIN R SAMADI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5900 OVERTON RIDGE BLVD, SUITE 110, FORT WORTH, TX 76132-3685
(817) 423-1477
(817) 423-1481
Mailing address
6654 SAINT ANDREWS RD, FORT WORTH, TX 76132-4579
(817) 361-5907
(817) 361-5909

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L1447
TX
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
L1447
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5671290001
DME
TX
Enumeration date
05/04/2006
Last updated
03/03/2009
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