Healthcare Provider Details

I. General information

NPI: 1033773247
Provider Name (Legal Business Name): MUHAMMAD SAMY ABDULLAH ABDULLAH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 05/06/2024
Certification Date: 05/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 FLOYD CURL DR FL 8
SAN ANTONIO TX
78229-3931
US

IV. Provider business mailing address

8300 FLOYD CURL DR FL 8
SAN ANTONIO TX
78229-3931
US

V. Phone/Fax

Practice location:
  • Phone: 346-252-3855
  • Fax: 210-450-2139
Mailing address:
  • Phone: 346-252-3855
  • Fax: 210-450-2139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License NumberU3765
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberU3765
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: