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NPI Code Detail

MEDICARE: ESRAA ELSAMNY

MEDICARE: ESRAA ELSAMNY
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
1390200000XStudent in an Organized Health Care Education/Training ProgramBP10071257TX

General Provider Information

NPI Number : 1629696273
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESRAA ELSAMNY
Provider Business Mailing Address
First Line : 7676 PHOENIX DR APT 1523
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4725
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7676 PHOENIX DR APT 1523
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4725
Country : US
Telephone Number : 832-728-3310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2020
Last Update Date : 07/15/2020

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Directions to “ ESRAA ELSAMNY ” Practice Location

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