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NPI Code Detail

MEDICARE: SAMANTHA SU MD

MEDICARE: SAMANTHA SU 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1700725488
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA SU MD
Provider Business Mailing Address
First Line : 3835 ARNOLD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77005-2035
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 ST JOSEPH PKWY
Second Line :
City : HOUSTON
State : TX
Zip : 77002-8301
Country : US
Telephone Number : 713-756-8374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2026
Last Update Date : 03/26/2026

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Directions to “ SAMANTHA SU MD” Practice Location

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