Provider Demographics
NPI:1508742529
Name:CLAY, SAMANTHA JAMELLE
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:JAMELLE
Last Name:CLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8655 DARRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-2624
Mailing Address - Country:US
Mailing Address - Phone:318-547-4007
Mailing Address - Fax:
Practice Address - Street 1:8655 DARRINGTON DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-2624
Practice Address - Country:US
Practice Address - Phone:318-547-4007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula