Organization
SAMUEL J. PANGBURN, D.O., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL JAY PANGBURN D.O. (OWNER)
(409) 883-4600
Entity
Organization
Contact information
Practice address
610 STRICKLAND DR, SUITE 190, ORANGE, TX 77630-4786
(409) 883-4600
(409) 883-4633
Mailing address
610 STRICKLAND DR, SUITE 190, ORANGE, TX 77630-4786
(409) 883-4600
(409) 883-4633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M0211
TX
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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