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

Samuel Coleridge

Individual provider Family Medicine Physician · NPI 1013986058

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 St
Fort Worth, TX 76106-8511
Phone: (817) 625-4254
Fax: (817) 740-1318
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J2546 (TX)

Record details

NPI number1013986058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESJuly 13, 2026

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