Samantha Ethridge, PA

NPI 1417355819 · on the registry since 2014

Practice

Address: 1800 Gurley Ln
Waco, TX 76706
Phone: (254) 313-6000
Fax: (254) 313-6099
Organisation at this address: Heart Of Texas Community Health Center Inc
Heart Of Texas Community Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-11-03

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