Siby Sam
Siby Sam is a Family Practice in Wichita Falls, Texas. Qualified in 2004, 22 years ago. Practices with La Magna Health PLLC, a 26-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 22
- Licensed in
- TX
- In the registry since
- 2011
Practice location Address checks out
1301 3rd St Ste 200Wichita Falls, TX 76301-2245
Phone: (940) 767-8334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence BP10034161 (TX) |
|---|
Record details
| NPI number | 1053607051 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 28, 2011 |
| Last updated in NPPES | June 28, 2011 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | La Magna Health Pllc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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