MEDICARE: SAMANTHA HILBUN SLP

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1598437105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA HILBUN SLP

Provider Business Mailing Address
First Line	:	PO BOX 39
Second Line	:
City	:	COLDSPRING
State	:	TX
Zip	:	77331-0039
Country	:	US
Telephone Number	:	936-653-1192
Fax Number	:

Provider Business Practice Location Address
First Line	:	14210 TX-150 WEST
Second Line	:
City	:	COLDSPRING
State	:	TX
Zip	:	77331-7733
Country	:	US
Telephone Number	:	936-653-1192
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2021
Last Update Date	:	10/01/2021

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Directions to “ SAMANTHA HILBUN SLP” Practice Location

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