Samara, David Edward
Samara, David Edward is an individual health care provider with primary practice located at 7777 Forest Lane, Bldg. B 300 , Dallas TX 75230-2571. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Samara, David Edward can be contacted via phone (972) 284-7770.Contact Information
Primary practice address
7777 Forest Lane, Bldg. B 300
Dallas TX 75230-2571
Phone: (972) 284-7770
Fax: (972) 284-7780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G5564 | Texas |
Profile Details
| NPI number | 1962401174 |
|---|---|
| LBN Legal business name | Samara, David Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Mar 11th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962401174 | NPPES |
| Texas | MEDICAID | 092163704 | |
| Texas | MEDICAID | 092163703 |
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