Eboni Samuel's National Provider Identifier (NPI) Details
Eboni Samuel,
NPI: 1881305464
Enumeration Date: 2022-12-05
Last updated: 2022-12-05
Sole Proprietor: YES
Status: active
Postal Address: 2639 BRIDGEWATER DR, GRAND PRAIRIE, TX
Phone: 214-604-6724
Primary Practice Address: 2639 BRIDGEWATER DR, GRAND PRAIRIE, TX
Practice's phone: 214-604-6724