Individual
SAMUEL A MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2604 WATERFORD DR, IRVING, TX 75063-3186
(973) 444-9102
Mailing address
2604 WATERFORD DR, IRVING, TX 75063-3186
(973) 444-9102
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
H2038
TX
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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