MEDICARE: SAMUEL BHARKSUWAN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	K4636	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	K4636	OTHER	TX	TEXAS MEDICAL LICENSE

General Provider Information

NPI Number	:	1467404590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMUEL BHARKSUWAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8668
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77387-8668
Country	:	US
Telephone Number	:	281-587-1300
Fax Number	:	281-203-5012

Provider Business Practice Location Address
First Line	:	9303 PINECROFT DR
Second Line	:	SUITE 380
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-3181
Country	:	US
Telephone Number	:	281-587-1300
Fax Number	:	832-201-8296

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	03/10/2026

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