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

Samuel Crist, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053872572

Samuel Crist, MD is a Student in an Organized Health Care Education/Training Program in Ft Worth, Texas. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 S Main St
Ft Worth, TX 76104-4917
Phone: (817) 702-8840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD2022-1080 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053872572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESSeptember 30, 2022
Certification dateSeptember 30, 2022
Mailing address1500 S Main St, Ft Worth, TX 76104-4917

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