Individual
AMANDA K SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 877-0350
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
(817) 877-0350
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
681288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192040704
—
TX
Enumeration date
01/23/2007
Last updated
06/08/2009
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