Individual
MS. SAMANTHA YSENIA MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITONER
Contact information
Practice address
2315 E SOUTHLAKE BLVD STE 110, SOUTHLAKE, TX 76092-6684
(817) 902-9220
(469) 899-0759
Mailing address
16775 ADDISON RD STE 200, ADDISON, TX 75001-5654
(469) 899-0759
(469) 899-0759
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1033654
TX
Other
Enumeration date
04/03/2021
Last updated
04/03/2021
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