SAMANTHA KAYE ETHRIDGE

WACO, TX
NPI1417355819
Former NameSAMANTHA KAYE GAMMEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA09447)
Enumeration Date2014-12-17
Last Update Date2016-11-03
Business Address
-- SAMANTHA KAYE ETHRIDGE PA
1800 GURLEY LN
WACO, TX 76706-4025
Phone number: 254-313-6000
Mailing Address
-- SAMANTHA KAYE ETHRIDGE PA
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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