Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 002874 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | N7746 | TX |
NPI | 1275717431 |
---|---|
Provider Name | Dr. Terri-Ann Patricia Samuels |
First Address | Houston, TX 77030-1218 |
Second Address | Houston, TX 77054-1951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 14/01/2022 |