Individual
DR. SAMUEL VICTOR CANCHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 HERITAGE TRL, BELLVILLE, TX 77418-9300
(979) 865-0196
(979) 865-0198
Mailing address
110 HERITAGE TRL, BELLVILLE, TX 77418-9300
(979) 865-0196
(979) 865-0198
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
F3063
TX
207Q00000X
Family Medicine Physician
F3063
TX
Other
Enumeration date
01/19/2006
Last updated
12/17/2013
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