Samuel Mauras
Nurse Practitioner, Family in Austin, TX. Individual provider (NPI-1).
NPI number1316639636
StatusActive
Last updated in NPPESMay 24, 2023
Details
- NPI
- 1316639636
- Entity type
- Individual (NPI-1)
- Name
- Samuel Mauras
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2023
- Certification date
- May 24, 2023
- Last updated
- May 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1109908 | TX | Yes |
Practice location
500 Canyon Ridge Dr Ste B300Austin, TX 78753-1654
Phone 512-200-2369 · Fax 512-782-9316
Mailing address
8300 N Lamar Blvd Ste 200aAustin, TX 78753-5976
Phone 512-575-9555 · Fax 512-782-9316
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