Individual
DR. JUSTYN SCOTT SAMWAYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
(713) 838-0887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K8469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031512904
—
TX
05
—
031512907
—
TX
01
—
031512908
MEDICAID- CSHCN
TX
05
—
1722596
—
LA
01
—
83837N
BCBS
TX
01
—
8MM990
BCBS
TX
Enumeration date
07/21/2006
Last updated
01/25/2021
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