Debevec, Samantha
Debevec, Samantha is an sole proprietor health care provider with primary practice located at 1001 12Th Ave Ste 171 , Fort Worth TX 76104-3926. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Debevec, Samantha can be contacted via phone (817) 576-6500.Contact Information
Primary practice address
1001 12Th Ave Ste 171
Fort Worth TX 76104-3926
Phone: (817) 576-6500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X |
Profile Details
| NPI number | 1477929891 |
|---|---|
| LBN Legal business name | Debevec, Samantha |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2015 |
| Last updated | Oct 7th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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