Individual
DR. SAMANTHA MONIQUE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 HOSPITAL PKWY STE 306, BEDFORD, TX 76022-5936
(817) 684-5100
(817) 684-5101
Mailing address
7300 RANCH ROAD 2222, BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
V6875
TX
Other
Enumeration date
04/08/2021
Last updated
04/07/2025
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