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Individual

SAMANTHA S. CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-5306
(214) 590-2798
Mailing address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
596949
TX
367A00000X
Advanced Practice Midwife
1019567
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144875501
TX
05
144875502
TX
05
144875503
TX
05
144875504
TX
05
144875505
TX
05
144875506
TX
05
144875507
TX
05
144875508
TX
05
144875509
TX
05
144875510
TX
05
144875511
TX
05
144875512
TX
01
8N4868
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
07/26/2023
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