MEDICARE: ELIZABETH SAMUEL MD

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	2084N0400X	Neurology Physician	M0252	TX
2	2084N0600X	Clinical Neurophysiology Physician	M0252	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00207238	OTHER	TX	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	8G4625	OTHER	TX	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114956539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH SAMUEL MD

Provider Business Mailing Address
First Line	:	4325 N JOSEY LN STE 211
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4637
Country	:	US
Telephone Number	:	214-483-5665
Fax Number	:	214-483-5684

Provider Business Practice Location Address
First Line	:	4325 N JOSEY LN STE 211
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4637
Country	:	US
Telephone Number	:	214-483-5665
Fax Number	:	214-483-5684

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	07/20/2009

Similar Medicare Providers

1003814146 — DR. KETAN P PATEL M.D.
Practice Location Address:

4325 N JOSEY LN STE 202
CARROLLTON, TX
75010-4637

Practice Phone: 214-566-9616
Practice Fax: 307-459-6599

1528054046 — ALI R SHIRVANI MD
Practice Location Address:

4325 N JOSEY LN STE 206
CARROLLTON, TX
75010-4637

Practice Phone: 214-915-8515
Practice Fax: 469-892-2312

1871531434 — DR. PRASAD V.R. PATURU MD
Practice Location Address:

4325 N JOSEY LN STE 202
CARROLLTON, TX
75010-4637

Practice Phone: 972-443-9900
Practice Fax: 972-443-9908

1831357227 — DR. SAMEER KUMAR SINGH M.D.
Practice Location Address:

4325 N JOSEY LN STE 206
CARROLLTON, TX
75010-4637

Practice Phone: 214-915-8515
Practice Fax: 469-892-2312

1356965131 — TRICITY PAIN ASSOCIATES PA
Practice Location Address:

4325 N JOSEY LN STE 206
CARROLLTON, TX
75010-4637

Practice Phone: 972-939-7246
Practice Fax: 210-314-4609

1295007680 — MR. PAUL STEVEN GALLANT JR. PT, DPT
Practice Location Address:

4637 S CARROLLTON AVE
NEW ORLEANS, LA
70119-6024

Practice Phone: 985-630-1600
Practice Fax: 504-866-2577

Directions to “ ELIZABETH SAMUEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.