Individual
BONNIE ARP SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4443 N JOSEY LN STE 150, CARROLLTON, TX 75010-4680
(972) 820-7595
(972) 820-7549
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02570
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ORDERING/REFERRING TPI
TX
Enumeration date
08/13/2007
Last updated
10/23/2018
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