Individual
SAMANTHA SPANN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5303 HARRY HINES BLVD FL 8, DALLAS, TX 75390-7208
(214) 645-8800
Mailing address
5303 HARRY HINES BLVD FL 8, DALLAS, TX 75390-7208
(214) 645-8800
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
PA12210
TX
363AM0700X
Medical Physician Assistant
Primary
PA12210
TX
Other
Enumeration date
11/29/2018
Last updated
06/09/2020
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