SAMANTHA RAE KING

FORT WORTH, TX
NPI1164144820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: TX  AT9017)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
Miss SAMANTHA RAE KING LAT, ATC
3500 BELLAIRE DRIVE
FORT WORTH, TX 76109
Phone number: 862-380-0003
Mailing Address
Miss SAMANTHA RAE KING LAT, ATC
4000 HULEN PL APT 418
FORT WORTH, TX 76107-7380
Phone number: 303-288-5067