Individual provider · Type 1 NPI
Samantha Kaye Ethridge, PA
Physician Assistant · Waco, TX
Practice location
1800 Gurley Ln
Waco, TX 76706-4025
Fax (254) 313-6099
Mailing address
1600 Providence Dr
Waco, TX 76707-2261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | PA09447 (TX) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
2 other providers at this address
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About NPI 1417355819
Samantha Kaye Ethridge, PA's National Provider Identifier is 1417355819, issued on Dec 17, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waco, TX. The record was last updated on Nov 3, 2016.