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NPI Code Detail

MEDICARE: SAMANTHA G EDWIN PA-C

MEDICARE:   SAMANTHA G EDWIN  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA19836TX

General Provider Information

NPI Number : 1063377299
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA G EDWIN PA-C
Provider Business Mailing Address
First Line : 2525 N VETERANS BLVD
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-3302
Country : US
Telephone Number : 830-773-8917
Fax Number : 830-773-1892
Provider Business Practice Location Address
First Line : 1175 EIDSON RD
Second Line :
City : EAGLE PASS
State : TX
Zip : 78852-5403
Country : US
Telephone Number : 830-757-6946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2025
Last Update Date : 01/23/2026

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Directions to “ SAMANTHA G EDWIN PA-C” Practice Location

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