Individual
DR. COLLEEN SAM
Active
Individual
DR. COLLEEN SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M4508
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181122601
—
TX
05
—
181122604
—
TX
05
—
181122606
—
TX
Enumeration date
07/26/2006
Last updated
11/26/2019
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