Samuel, Elizabeth

Samuel, Elizabeth is an individual health care provider with primary practice located at 4325 N Josey Ln Ste 211 , Carrollton TX 75010-4637. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Samuel, Elizabeth can be contacted via phone (214) 483-5665.

Contact Information

Primary practice address
4325 N Josey Ln Ste 211 Carrollton TX 75010-4637
Phone: (214) 483-5665
Fax: (214) 483-5684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X M0252 Texas
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X M0252 Texas

Profile Details

NPI number 1114956539
LBN Legal business name Samuel, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Jul 20th, 2009 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114956539 NPPES
Texas Other P00207238 RR MEDICARE
Texas Other 8G4625 RR MEDICARE
Texas MEDICAID 172460101 RR MEDICARE
Texas MEDICAID 172460102 RR MEDICARE
Texas MEDICAID 172460103 RR MEDICARE

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