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NPI Code Detail

MEDICARE: DR. R. SAM LINGAMFELTER D.O

MEDICARE: DR. R. SAM LINGAMFELTER D.O
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
1207Q00000XFamily Medicine PhysicianK5604TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18EV985OTHERTXBLUE CROSS BLUE SHIELD
21821054826OTHERTXGROUP NPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225044084
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. R. SAM LINGAMFELTER D.O
Provider Business Mailing Address
First Line : 14903 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2603
Country : US
Telephone Number : 713-363-7640
Fax Number :
Provider Business Practice Location Address
First Line : 14903 EL CAMINO REAL
Second Line :
City : HOUSTON
State : TX
Zip : 77062-2603
Country : US
Telephone Number : 713-363-7640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 03/17/2018

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