Individual
DR. SAMUEL HARALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1651 W ROSEDALE ST, #200, FORT WORTH, TX 76104-7437
(817) 335-4316
(817) 336-2504
Mailing address
1651 W ROSEDALE ST, #200, FORT WORTH, TX 76104-7437
(817) 335-4316
(817) 336-2504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9230
TX
207PS0010X
Sports Medicine (Emergency Medicine) Physician
L9230
TX
Other
Enumeration date
07/16/2007
Last updated
02/19/2013
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