Organization
SAMUEL ALIANELL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL JOHN ALIANELL M.D. (MEDICAL DIRECTOR)
(936) 321-0214
Entity
Organization
Contact information
Practice address
111 VISION PARK BLVD, SUITE 140, SHENANDOAH, TX 77384-3002
(936) 321-0214
(936) 271-0219
Mailing address
6700 WOODLANDS PKWY, STE 230 BOX 260, THE WOODLANDS, TX 77382-2575
(936) 321-0214
(936) 271-0219
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J4688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00Z520
MEDICARE GROUP NUMBER
TX
01
—
DP1927
RAILROAD MEDICARE GROUP NUMBER
TX
Enumeration date
08/07/2008
Last updated
09/21/2009
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