Individual
SAMANTHA PARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2313 PARKHAVEN DR, PLANO, TX 75075-2014
(972) 768-7337
(972) 202-0408
Mailing address
2313 PARKHAVEN DR, PLANO, TX 75075-2014
(972) 768-7337
(972) 202-0408
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA04153
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8C6454
MEDICARE, TYPE UNSPECIFIE
TX
01
—
8Y1927
BCBS
TX
Enumeration date
03/29/2006
Last updated
07/04/2012
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