Individual
ANTHONY DEWAYNE SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7831 CASPIAN BAY DRIVE, CONVERSE, TX 78109
(210) 305-2127
Mailing address
7831 CASPIAN BAY DRIVE, CONVERSE, TX 78109
(210) 305-2127
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
117609
TX
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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