Shields, Samara
Shields, Samara is an sole proprietor health care provider with primary practice located at 1306 S Glenwood Blvd , Tyler TX 75701-2740. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Shields, Samara can be contacted via phone (806) 463-9948.Contact Information
Primary practice address
1306 S Glenwood Blvd
Tyler TX 75701-2740
Phone: (806) 463-9948
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 73938 | Texas |
Profile Details
| NPI number | 1386389369 |
|---|---|
| LBN Legal business name | Shields, Samara |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2022 |
| Last updated | May 3rd, 2022 - about 4 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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