Individual provider · Type 1 NPI

Susamma Samuel

Acute Care Nurse Practitioner · Dallas, TX

NPI number 1326690868 Active

Practice location

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312

Mailing address

PO Box 845347
Dallas, TX 75284-7208

Other practice locations

  • 1228 Muscogee Trl, Carrollton, TX 75010-1164 · (214) 223-2359
  • 5323 Harry Hines Blvd, Dallas, TX 75390 · (214) 223-2359

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP140870 (TX)
Acute Care Nurse Practitioner Primary 363LA2100XAP140870 (TX)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1326690868

Susamma Samuel's National Provider Identifier is 1326690868, issued on Jul 15, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Feb 14, 2022.