Individual
MR. ERIC SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LYNDON B JOHNSON FWY STE 200, DALLAS, TX 75240-6524
(972) 233-1999
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127190
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344232901
—
TX
01
—
75-0818167-015
TRICARE
TX
01
—
8067UN
BCBS
TX
01
—
8698UJ
BCBS
TX
01
—
P01446637
RR
TX
01
—
P01681365
RAIL ROAD MEDICARE
TX
Enumeration date
12/29/2014
Last updated
07/01/2020
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