Organization
CLINICS FOR WOMENS HEALTH PA
Active
Other names
Donald Samuel, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RAY SAMUEL MD (PHYSICIAN)
(409) 489-0500
Entity
Organization
Contact information
Practice address
605 W GIBSON ST, JASPER, TX 75951-4909
(409) 489-0500
Mailing address
605 W GIBSON ST, JASPER, TX 75951-4909
(409) 489-0500
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
H5964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032707401
—
TX
Enumeration date
05/07/2007
Last updated
09/20/2013
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