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Individual

DR. SAMER DA SHAMOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2401 S 31ST ST # MS 29C269, TEMPLE, TX 76508-0001
(514) 806-2966
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
47906
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
47906
TX
2088P0231X
Pediatric Urology Physician
47906
TX

Other

Enumeration date
07/24/2023
Last updated
08/24/2023
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