Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 01080480A | IN |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 68854 | GA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | P6517 | TX |
N | 207VX0201X | Gynecologic Oncologist | MT188830 | PA |
NPI | 1114123429 |
---|---|
Provider Name | Dr. Amber Rachael Samuel |
First Address | Shenandoah, TX 77380-3880 |
Second Address | Shenandoah, TX 77380-2794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2007 |
Last Update Date | 03/02/2022 |