Individual
ANNA R SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
5026 POOL RD, DENISON, TX 75020-4595
(903) 465-3624
(903) 465-3973
Mailing address
5012 S US HIGHWAY 75 STE 300, DENISON, TX 75020-4589
(903) 465-3624
(903) 465-3973
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
716738
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP124352
TX
364SA2100X
Acute Care Clinical Nurse Specialist
13998
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
329130401
—
TX
05
—
329130402
—
TX
05
—
329130404
—
TX
01
—
331622YMGJ
MEDICARE PIN
TX
01
—
8515NF
BCBS
TX
Enumeration date
04/07/2009
Last updated
07/21/2022
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