SAMANTHA SPANN MCCORMICK PA-C NPI 1710457023

NPI Information

NPI: 1710457023
Provider Name: SAMANTHA SPANN MCCORMICK, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
5303 HARRY HINES BLVD FL 8
DALLAS, TX
ZIP 75390
Phone: (214) 645-8800
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Samantha Spann Mccormick, PA-C is a medical physician assistant in Dallas, TX with 6 years of experience. Samantha Spann Mccormick, PA-C NPI is 1710457023. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5303 HARRY HINES BLVD FL 8
DALLAS, TX
ZIP 75390-208
Phone: (214) 645-8800

The NPI 1710457023 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 6/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	PA12210	TEXAS	No
2	363AM0700X	Physician Assistant	Medical	PA12210	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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