Individual
SAMANTHA WITHERSPOON NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1600 LANCASTER DR STE 101, GRAPEVINE, TX 76051-3579
(817) 251-5024
Mailing address
1600 LANCASTER DR STE 101, GRAPEVINE, TX 76051-3579
(817) 251-5024
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1007963
TX
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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