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Contact Information

TIMOTHY SAMPANA
5217 LEHIGH ST
LUBBOCK, TX79416
 Phone: 210-478-2863
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TIMOTHY SAMPANA · (Male)

NPI Number 1932697182
Status Active
Credentials
Entity Individual
Enumeration date 04/24/2018
Last updated 12/28/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA12368
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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