Individual
MS. BINCY SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
855 MONTGOMERY ST FL 4, FORT WORTH, TX 76107-2553
(817) 735-2400
(817) 735-0615
Mailing address
855 MONTGOMERY ST, FORT WORTH, TX 76107-2553
(817) 735-5418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1022076
TX
363LF0000X
Family Nurse Practitioner
4704276935
MI
Other
Enumeration date
10/12/2017
Last updated
05/11/2021
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