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General NPI Number Information
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NPI Number | 1700852068
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Entity Type | Organization
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Legal Business Name | E. JOHN R. SAMUEL, MD, PA
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 18955 N MEMORIAL DR STE 200
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City | HUMBLE
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State | TX
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Zip | 77338-4386
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Country | US
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Telephone | 281-446-9999
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Fax | 281-446-5399
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Provider Business Mailing Address
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Address Line | 18955 N MEMORIAL DR STE 200
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City | HUMBLE
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State | TX
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Zip | 77338-4386
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Country | US
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Telephone | 281-446-2999
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Fax | 281-446-5399
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | E. JOHN R. SAMUEL
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Credential | MD
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Telephone | 281-446-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 257051
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | G7326
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License Number State | TX
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