SAMIN PROFESSIONAL SERVICES LLC NPI 1902495799

NPI Information

  • NPI: 1902495799
  • Provider Name: SAMIN PROFESSIONAL SERVICES LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 45D2322001
  • Address: 17754 PRESTON RD STE 100
    DALLAS, TX
    ZIP 75252
  • Phone: (214) 837-8875

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NPI Details

SAMIN PROFESSIONAL SERVICES LLC is a psychiatric/mental health nurse practitioner in Dallas, TX. SAMIN PROFESSIONAL SERVICES LLC NPI is 1902495799. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17754 PRESTON RD STE 100
DALLAS, TX
ZIP 75252-638
Phone: (214) 837-8875
Fax: (774) 209-4472

The provider's authorized official is Inemeset Sampson .
The authorized official title is Owner and has the following contact phone number (281) 683-2401.

The CLIA number assigned to this NPI record is 45D2322001 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2021 and was last updated on 3/14/2025.

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
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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