Individual
SAMUEL ALLEN NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3809 E 9TH ST STE 15, TEXARKANA, AR 71854-5818
(870) 621-0080
(870) 621-0081
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-1202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004574
AR
363LF0000X
Family Nurse Practitioner
AP127398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211556758
—
AR
Enumeration date
02/17/2015
Last updated
05/24/2024
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