Individual
AHMED ABU SAMAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7608 NOVELLA DR, FORT WORTH, TX 76134-4319
(702) 372-6089
Mailing address
7608 NOVELLA DR, FORT WORTH, TX 76134-4319
(702) 372-6089
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
957625
TX
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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