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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL COLERIDGE

Active

SAMUEL COLERIDGE is a Family Medicine healthcare provider located in FORT WORTH, Texas. NPI 1013986058 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FORT WORTH, TX

Registration Details

NPI Number
1013986058
Provider Type
Individual
Gender
Male
NPI Issued
Mar 14, 2006 (20.236282791415 yrs)
Last Updated
Jul 8, 2007
License
J2546 (TX)

Practice Information

Address
2106 N MAIN ST
FORT WORTH, TX, 761068511
Browse TX providers · Browse ZIP 76106
Phone
8176254254
Fax
8177401318
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in FORT WORTH, TX

Name Credential NPI
DR. FRANCISCO CHACON M.D. 1386647162
BEENA M. TRIVEDI MD 1457353500
SUCHITA REDDY M.D. 1154325132
DR. PETER GORDON MCDOUGALL M.D. 1548264948
DR. MICHAEL LYNN BAILEY DO 1215931639
RICKY D EDWARDS MD 1457358699
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.