Individual
JESUS ENRIQUE SAMANIEGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17198 ST LUKES WAY, SUITE 540, THE WOODLANDS, TX 77384-8011
(713) 442-1900
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
H2006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104760702
—
TX
05
—
104760703
—
TX
01
—
86X941
BCBS
TX
Enumeration date
10/05/2006
Last updated
06/16/2021
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