Individual
DR. DONALD SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 W GIBSON ST, JASPER, TX 75951-4909
(409) 489-0500
Mailing address
605 W GIBSON ST, JASPER, TX 75951-4909
(409) 489-0500
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H5964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032707401
—
TX
Enumeration date
10/23/2006
Last updated
09/20/2013
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