Individual
DR. KENNY SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16750 RED OAK DR, HOUSTON, TX 77090-2543
(281) 453-7100
Mailing address
20320 NORTHWEST FWY STE 900, JERSEY VILLAGE, TX 77065-5620
(281) 453-7232
(281) 440-2020
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P6911
TX
2085R0204X
Vascular & Interventional Radiology Physician
P6911
TX
261QR0206X
Mammography Clinic/Center
P6911
TX
Other
Enumeration date
10/23/2012
Last updated
06/04/2019
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