Individual
SAMANTHA DEBEVEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 12TH AVE STE 171, FORT WORTH, TX 76104-3926
(817) 576-6500
Mailing address
3113 SONDRA DR APT C304, FORT WORTH, TX 76107-1894
(337) 224-2832
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/19/2015
Last updated
10/07/2019
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