Samantha Blake Foley, PA-C
Physician Assistant in Dallas, TX. Individual provider (NPI-1).
NPI number1023592425
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1023592425
- Entity type
- Individual (NPI-1)
- Name
- Samantha Blake Foley
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2018
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA12145 | TX | Yes |
| 2086X0206X | Surgery, Surgical Oncology | PA12145 | TX |
Practice location
5201 Harry Hines BlvdDallas, TX 75235-7708
Phone 214-590-0153
Mailing address
5323 Harry Hines BlvdDallas, TX 75390-7201
Phone 903-815-3311
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