| NPI | 1558729251 |
|---|---|
| Former Name | SAMANTHA JO ADCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10509) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2023-05-19 |