Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | G7326 | TX |
NPI | 1316913668 |
---|---|
Provider Name | Asha K. Samuel |
First Address | Kingwood, TX 77339-4412 |
Second Address | Kingwood, TX 77339-4412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 06/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E36574 | (02) | TX |