Healthcare Provider Details

I. General information

NPI: 1578997185
Provider Name (Legal Business Name): SAMER TABEL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2013
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22216 LOOP 494
NEW CANEY TX
77357-4582
US

IV. Provider business mailing address

22216 LOOP 494
NEW CANEY TX
77357-4582
US

V. Phone/Fax

Practice location:
  • Phone: 281-354-2244
  • Fax: 281-354-1147
Mailing address:
  • Phone: 281-354-2244
  • Fax: 281-354-1147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateTX

VIII. Authorized Official

Name: LOBNA ANAIM
Title or Position: ADMINISTRATOR
Credential:
Phone: 714-683-2970