Sam Fason, DDS

NPI 1093788556 · on the registry since 2006

Practice

Address: 711 W 38th St
Suite A-1
Austin, TX 78705
Phone: (512) 454-1220
Organisation at this address: Btdi Jv, Llp
Metro Periodontics
Austin Open Mri Lp
Djay Management Llc
Symphony Healthcare Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 96

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-04-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas