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NPI Code Detail

MEDICARE: SAMUEL OUYA FNP

MEDICARE: SAMUEL OUYA FNP
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
1363LF0000XFamily Nurse PractitionerAP140456TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38NR726OTHERTXBCBS

General Provider Information

NPI Number : 1427677913
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL OUYA FNP
Provider Business Mailing Address
First Line : 18333 EGRET BAY BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3239
Country : US
Telephone Number : 281-332-3001
Fax Number : 281-332-3005
Provider Business Practice Location Address
First Line : 850 CENTRAL PKWY E STE 275
Second Line :
City : PLANO
State : TX
Zip : 75074-5542
Country : US
Telephone Number : 972-881-4688
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 03/11/2026

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