| Doctor Name: | ANNA R SAMUEL |
| NPI Number: | 1639312671 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 13998 |
| Business Practice Address: | 209 S Church St Suite A Lockhart, TX - 786442713 |
| Business Phone Number: | 5123762183 |
| Business Fax Number: | 5123243449 |
| Mailing Address: | 1400 N Ih 35, Suite 300 AUSTIN |
| State: | TX |
| Postal Code: | 787011926 |
| Phone Number: | 5123248300 |
| Fax Number: | 5123248301 |
| NPI Enumeration Date: | 04/07/2009 |
| NPI Last Update Date: | 01/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SA2100X |
| License Number: | 13998 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |