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Individual

SAM AFSHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2410 ROUND ROCK AVE STE 110, ROUND ROCK, TX 78681-4019
(903) 934-5490
(903) 934-5493
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 315-4119
(903) 315-4130

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2898
TX
207RC0000X
Cardiovascular Disease Physician
Primary
N2898
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BP1-0026128
INSTITUTIONAL PERMIT
Enumeration date
05/21/2007
Last updated
11/08/2022
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