T J Samson Family Medicine Center

NPI 1093752040 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1093752040
Enumeration Date 05/31/2006
Last Updated 11/17/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HERMAN HERMAN
Position CFO
Phone (270) 651-4797
Fax (270) 651-4818
Practice Location
1325 N RACE ST
GLASGOW KY, 42141-3454, US
Phone (270) 651-4797
Fax (270) 651-4818
Business Location
1325 N RACE ST
GLASGOW KY, 42141-3454, US
Phone (270) 651-4797
Fax (270) 651-4818
Toxanomy
Taxonomy Code 363LF0000X
License State
License Number
Remove 1093752040 NPI Number
 

According to our database, T J Samson Family Medicine Center NPI is 1093752040, taxonomy code is 363LF0000X T J Samson Family Medicine Center physically located at 1325 N Race St, Glasgow KY, 42141-3454. NPI Number 1033115704 has the healthcare provider type.

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1093752040 NPI number is provided on an as is basis without warranty of any kind. 1093752040 is maintained by the National Plan & Provider Enumeration System. The contents of T J Samson Family Medicine Center are for informational purposes only.