| Samantha A Minten, | |
|
1204 S Vine Ave, Tyler, TX 75701-2820 | |
| (903) 508-9696 | |
| Not Available |
| Full Name | Samantha A Minten |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1204 S Vine Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033985130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 117033 (Texas) | Primary |
| Provider Name | Navajo Health Foundation-sage Memorial Hospital, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1477735777 PECOS PAC ID: 2163332347 Enrollment ID: O20040326001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha A Minten, 1204 S Vine Ave, Tyler, TX 75701-2820 Ph: (903) 508-9696 | Samantha A Minten, 1204 S Vine Ave, Tyler, TX 75701-2820 Ph: (903) 508-9696 |
Kimberly Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Ste. 800, Tyler, TX 75703 Phone: 903-939-2800 | |
Mary Paige Woodfin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Suite 800, Tyler, TX 75703 Phone: 903-939-2800 Fax: 817-789-6849 | |
Nicole Rene Wiggins, OTR, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St, Tyler, TX 75702 Phone: 903-531-2581 | |
Joseph Clinton Staples, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3161 | |
Patricia Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 | |
Kimberly Gresham, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Wsw Loop 323, Tyler, TX 75701 Phone: 903-509-1313 Fax: 903-509-1383 |