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NPI Code Detail

MEDICARE: SAMIN PROFESSIONAL SERVICES LLC

MEDICARE: SAMIN PROFESSIONAL SERVICES LLC
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
1251B00000XCase Management Agency
2363LF0000XFamily Nurse Practitioner
3363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1902495799
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAMIN PROFESSIONAL SERVICES LLC
Provider Business Mailing Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 214-837-8875
Fax Number : 774-209-4472
Provider Business Practice Location Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 214-837-8875
Fax Number : 774-209-4472
Authorized Official
Title or Position : OWNER
Name : INEMESET SAMPSON
Credential : MSN, APRN, PMHNP-BC,
Telephone Number : 281-683-2401
Provider Enumeration Date : 01/15/2021
Last Update Date : 01/09/2026

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Directions to “SAMIN PROFESSIONAL SERVICES LLC ” Practice Location

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