MEDICARE: MR. SAM ALEXANDER SAMARRAI 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
1	207Q00000X	Family Medicine Physician	ME152025	FL
2	207Q00000X	Family Medicine Physician	V6097	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	YDQK6	OTHER	FL	FLORIDA BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972000461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SAM ALEXANDER SAMARRAI MD

Provider Business Mailing Address
First Line	:	2027 S 61ST ST STE 120
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-6817
Country	:	US
Telephone Number	:	254-314-8990
Fax Number	:	254-566-5232

Provider Business Practice Location Address
First Line	:	2027 S 61ST ST STE 120
Second Line	:
City	:	TEMPLE
State	:	TX
Zip	:	76504-6817
Country	:	US
Telephone Number	:	254-314-8990
Fax Number	:	254-566-1357

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

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	11/12/2025

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