NPI | 1093752040 |
---|---|
Doing Business As | T J SAMSON FAMILY MEDICINE CENTER |
Entity Type | Organization |
Authorized Contact | NEIL THORNBURY CEO 270-651-4159 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2006-05-31 |
Last Update Date | 2023-03-30 |