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

SAMUEL PHILLIP PRINCE, PTA

Active Sole Proprietor

SAMUEL PHILLIP PRINCE, PTA is a Pediatric Rehabilitation Medicine healthcare provider located in AMARILLO, Texas. NPI 1619683489 is currently active in the NPPES registry. Verify at CMS.

Pediatric Rehabilitation Medicine · AMARILLO, TX

Registration Details

NPI Number
1619683489
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2023 (3.5883224358164 yrs)
Last Updated
Jan 25, 2023
License
2012688 (TX)
Sole Proprietor
Yes

Practice Information

Address
3304 WESTLAWN ST
AMARILLO, TX, 791022012
Browse TX providers · Browse ZIP 79102
Phone
5056044151
Primary Specialty
Pediatric Rehabilitation Medicine
2081P0010X
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.