person
Samantha Lyn Innis, MD
Student in an Organized Health Care Education/Training Program in San Antonio, Texas
NPI 1841871787

Samantha Lyn Innis is a Student in an Organized Health Care Education/Training Program based in San Antonio, TX. Samantha Lyn Innis practices in San Antonio, TX and has the professional credentials of MD. The NPI Number for Samantha Lyn Innis is 1841871787 and holds a License No. (Texas).

The current practice location address for Samantha Lyn Innis is 333 N. Santa Rosa St, San Antonio, TX and can be reached out via phone at 210-704-3910 and via fax at 210-704-4922.

Location: 333 N. Santa Rosa St, San Antonio, TX, 78207-3108
person
Provider Profile Details
NPI Number
1841871787
Provider Name
Samantha Lyn Innis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
333 N. Santa Rosa St, San Antonio, TX, 78207-3108
Phone Number
210-704-3910
Fax Number
210-704-4922
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
333 N. Santa Rosa St
City
State
Zip
78207-3108
Phone Number
210-704-3910
Fax Number
210-704-4922
person
Provider Business Mailing Address Details
Address
333 N. Santa Rosa St
City
State
Zip
78207-3108
Phone Number
210-704-3910
Fax Number
210-704-4922
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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