Individual
SAMUEL PHILLIP PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3304 WESTLAWN ST, AMARILLO, TX 79102-2012
(505) 604-4151
Mailing address
3304 WESTLAWN ST, AMARILLO, TX 79102-2012
(505) 604-4151
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2012688
TX
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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