Individual
JAMES K. SAMPOGNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(888) 804-3000
Mailing address
2220 FOREST HOLLOW PARK, DALLAS, TX 75228-7825
(214) 327-2271
(214) 327-2271
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
553146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126074706
—
TX
Enumeration date
07/14/2005
Last updated
12/06/2007
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