Samantha Kaye Ethridge, PA

NPI #1417355819 in Waco, Texas

Provider Information

NPI Number: 1417355819
Entity Type: Individual
Name: Samantha Kaye Ethridge, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 17, 2014
Last Updated: Nov 3, 2016

Practice Location

Address: 1800 GURLEY LN
City: Waco
State: Texas
ZIP Code: 76706-4025
Phone: (254) 313-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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