Samuel Coleridge
Samuel Coleridge is a Family Medicine Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2006.
- Licensed in
- TX
- In the registry since
- 2006
Practice location Address checks out
2106 N Main StFort Worth, TX 76106-8511
Phone: (817) 625-4254
Fax: (817) 740-1318
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Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence J2546 (TX) |
|---|
Record details
| NPI number | 1013986058 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 14, 2006 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 |
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