Jurado, Samuel L

Jurado, Samuel L is an individual health care provider with primary practice located at 2601 Dimmitt Rd 102, Plainview TX 79072-1833. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jurado, Samuel L can be contacted via phone (806) 293-8561.

Contact Information

Primary practice address
2601 Dimmitt Rd 102 Plainview TX 79072-1833
Phone: (806) 293-8561
Fax: (806) 293-7354
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Texas

Profile Details

NPI number 1275764862
LBN Legal business name Jurado, Samuel L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2009
Last updated Apr 1st, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275764862 NPPES
Texas MEDICAID 209443501
Texas MEDICAID 135077903
Texas Other 805N46

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