Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | J3378 | TX |
NPI | 1003996380 |
---|---|
Provider Name | Dr. Andrew C Sambell |
First Address | Arlington, TX 76017-5851 |
Second Address | Arlington, TX 76017-5851 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
030936103 | (05) | TX |
030936104 | (05) | TX |
030936105 | (05) | TX |
030936106 | (05) | TX |
030936107 | (05) | TX |
030936108 | (05) | TX |
F77526 | (02) | TX |