Provider Demographics
NPI:1306349022
Name:PARSONS, SAMANTHA (PNP)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:PARSONS
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 PRESIDENT GEORGE BUSH TPKE #108
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2014
Mailing Address - Country:US
Mailing Address - Phone:469-715-3489
Mailing Address - Fax:
Practice Address - Street 1:4650 PRESIDENT GEORGE BUSH TPKE
Practice Address - Street 2:SUITE 108
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-2014
Practice Address - Country:US
Practice Address - Phone:469-715-3489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136926208000000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No208000000XAllopathic & Osteopathic PhysiciansPediatrics