Healthcare Provider Details

I. General information

NPI: 1609372762
Provider Name (Legal Business Name): SAMANTHA JACQUELINE ROWE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA WEATE

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 FANNIN ST
HOUSTON TX
77054-1906
US

IV. Provider business mailing address

7600 FANNIN ST
HOUSTON TX
77054-1906
US

V. Phone/Fax

Practice location:
  • Phone: 713-790-1234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberV8381
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101267866
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: