Mr. Jeremiah Yanga Samson
Physical Therapist - Orthopedic
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland
, Texas 78236
Mr. Jeremiah Yanga Samson
Physical Therapist - Orthopedic
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland
, Texas 78236
(707) 704-1554
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Jeremiah Yanga Samson
- 11719 Caitlin Ash
- San Antonio, TX
- Zip : 78253-6280
- Phone : (707) 704-1554
Second Address
- Mr. Jeremiah Yanga Samson
- 1100 Wilford Hall Loop Bldg 4554
- Jbsa Lackland, TX
- Zip : 78236
- Phone : (210) 292-5040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | 34537 | CA |
National Provider Identifier
| NPI | 1083692370 |
|---|---|
| Provider Name | Mr. Jeremiah Yanga Samson |
| First Address | San Antonio, TX 78253-6280 |
| Second Address | Jbsa Lackland, TX 78236 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2006 |
| Last Update Date | 19/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.