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Individual

DR. SAMANTHA DAYAWANSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5500 NORTH ST, NACOGDOCHES, TX 75965-1372
(936) 560-6999
Mailing address
5500 NORTH ST, NACOGDOCHES, TX 75965-1372
(936) 560-6999

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01096248A
IN
207T00000X
Neurological Surgery Physician
95099
GA
207T00000X
Neurological Surgery Physician
V8608
TX

Other

Enumeration date
05/28/2013
Last updated
01/13/2026
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