Individual
SAMUEL MACHUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6500 WEST LOOP S STE 200, BELLAIRE, TX 77401-3535
(713) 486-2900
Mailing address
6500 WEST LOOP S STE 200, BELLAIRE, TX 77401-3535
(713) 486-2900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1131191
TX
Other
Enumeration date
03/13/2023
Last updated
05/03/2024
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