Sampognaro, James K.

Sampognaro, James K. is an sole proprietor health care provider with primary practice located at 4916 Overton Plz , Fort Worth TX 76109-4415. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Sampognaro, James K. can be contacted via phone (888) 804-3000.

Contact Information

Primary practice address
4916 Overton Plz Fort Worth TX 76109-4415
Phone: (888) 804-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 553146 Texas

Profile Details

NPI number 1770581571
LBN Legal business name Sampognaro, James K.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2005
Last updated Dec 6th, 2007 - about 19 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 1770581571 NPPES
Texas MEDICAID 126074706

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