Pailes, Mary Samantha
Pailes, Mary Samantha is an individual health care provider with primary practice located at 620 North Kimball Avenue Suite100, Southlake TX 76092-6173. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pailes, Mary Samantha can be contacted via phone (817) 328-8376.Contact Information
Primary practice address
620 North Kimball Avenue Suite100
Southlake TX 76092-6173
Phone: (817) 328-8376
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 709408 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 709408 | Texas |
Profile Details
| NPI number | 1528498433 |
|---|---|
| LBN Legal business name | Pailes, Mary Samantha |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2013 |
| Last updated | Aug 29th, 2023 - about 3 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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