Individual provider · Type 1 NPI

Samuel Coleridge

Family Medicine Physician · Fort Worth, TX

NPI number 1013986058 Active

Practice location

2106 N Main St
Fort Worth, TX 76106-8511

Call (817) 625-4254 Map

Fax (817) 740-1318

Mailing address

3500 Camp Bowie Blvd
Fort Worth, TX 76107-2644

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XJ2546 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1013986058

Samuel Coleridge's National Provider Identifier is 1013986058, issued on Mar 14, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Fort Worth, TX. The record was last updated on Jul 13, 2026.