Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shervin Samuel, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1356758999

Mr. Shervin Samuel, PHYSICIANASSISTANT is a Physician Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
Specialties on file
3

Practice location Address checks out

1500 Cooper St
Fort Worth, TX 76104-2710
Phone: (828) 856-8506
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA09221 (TX)
Physician Assistant Taxonomy 363A00000X (TX)
Medical Physician Assistant Taxonomy 363AM0700X (TX)

Record details

NPI number1356758999
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 15, 2014
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

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