Individual
BARRY I. SAMUELS
Active
Individual
BARRY I. SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
E3433
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100386501
—
TX
01
—
300026021
RR MEDICARE
TX
01
—
800144
BCBS
TX
Enumeration date
09/14/2006
Last updated
07/02/2012
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