MEDICARE: DR. SAMARA M AL MUSAWI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	U6436	TX
2	207R00000X	Internal Medicine Physician	U6436	TX

General Provider Information

NPI Number	:	1366071821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMARA M AL MUSAWI MD

Provider Business Mailing Address
First Line	:	8303 W MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78227-1841
Country	:	US
Telephone Number	:	210-674-6130
Fax Number	:	210-674-0990

Provider Business Practice Location Address
First Line	:	8303 W MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78227-1841
Country	:	US
Telephone Number	:	210-674-6130
Fax Number	:	210-674-0990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2020
Last Update Date	:	07/23/2024

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