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NPI Code Detail

MEDICARE: SAMOEUN ANTHONY SEUN

MEDICARE: SAMOEUN ANTHONY SEUN
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
1208U00000XClinical Pharmacology Physician57693TX

General Provider Information

NPI Number : 1972083053
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMOEUN ANTHONY SEUN
Provider Business Mailing Address
First Line : 2020 HEIGHTS DR
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2020 HEIGHTS DR
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-2000
Country : US
Telephone Number : 254-699-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2018
Last Update Date : 08/17/2018

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Directions to “ SAMOEUN ANTHONY SEUN ” Practice Location

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