Individual
SAMUEL WELLINGTON COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2705 HOSPITAL DR STE 402, VICTORIA, TX 77901-5777
(361) 574-1780
(361) 574-1785
Mailing address
2705 HOSPITAL DR STE 402, VICTORIA, TX 77901-5777
(361) 574-1780
(361) 574-1785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q9796
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q9796
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q9796
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2012
Last updated
07/11/2019
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