MEDICARE: SAMSARA HEALTHCARE PLLC

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	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1669010815
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMSARA HEALTHCARE PLLC

Provider Business Mailing Address
First Line	:	6090 SURETY DR STE 400
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-2060
Country	:	US
Telephone Number	:	915-979-7402
Fax Number	:	915-300-1947

Provider Business Practice Location Address
First Line	:	6090 SURETY DR STE 400
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79905-2060
Country	:	US
Telephone Number	:	915-979-7402
Fax Number	:	915-300-1947

Authorized Official
Title or Position	:	OWNER/DNP
Name	:	IVONNE ESPINOSA
Credential	:	DNP
Telephone Number	:	915-979-7402

Provider Enumeration Date	:	12/18/2019
Last Update Date	:	06/27/2024

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Directions to “SAMSARA HEALTHCARE PLLC ” Practice Location

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