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Individual

MRS. BINDU SAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3939 MEDICAL DR STE 100, SAN ANTONIO, TX 78229
(210) 450-6120
(210) 450-6161
Mailing address
7703 FLOYD CURL DR # MC7977, SAN ANTONIO, TX 78229-3901
(210) 450-6120
(210) 450-6161

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP126815
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
382423701
TX
01
382423702
CSHCN
TX
Enumeration date
12/02/2014
Last updated
06/11/2018
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