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Contact Information

SAMANTHA MEDEMA, PA-C
4518 KEMP BLVD
WICHITA FALLS, TX76308
 Phone: 605-929-5031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SAMANTHA MEDEMA · (Female)

NPI Number 1205586633
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 03/28/2022
Last updated 03/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA15519
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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