Organization
MEDICAL CENTER CATH LAB, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S SAMUELS M.D. (MEDICAL DIRECTOR)
(713) 790-0841
Entity
Organization
Contact information
Practice address
6550 FANNIN, SUITE 333, HOUSTON, TX 77030-2718
(713) 558-9508
(713) 790-1350
Mailing address
6400 FANNIN, SUITE 3000, HOUSTON, TX 77030-1527
(713) 790-0841
(713) 790-1350
Taxonomy
Speciality
Code
Description
License number
State
246XC2901X
Cardiovascular Invasive Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00328K
BCBS
TX
05
—
115263901
—
TX
01
—
CI4171
RAILROAD MEDICARE
TX
Enumeration date
02/20/2007
Last updated
10/11/2012
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