Individual
SAMUEL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390-7201
(214) 456-2382
(214) 456-6133
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 456-2382
(214) 456-6133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q0281
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
Q0281
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2011
Last updated
07/21/2022
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