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Individual

SAMUEL DAVID LUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-4060
Mailing address
6431 FANNIN ST, JJL447, HOUSTON, TX 77030-1501
(713) 500-5903

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M0801
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174009401
TX
Enumeration date
04/18/2006
Last updated
04/16/2014
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