Individual
MR. SAMI ELIAS CONSTANTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 N GALLOWAY AVE STE 107, MESQUITE, TX 75149-7418
(972) 288-1084
(297) 289-3374
Mailing address
901 N GALLOWAY AVE STE 107, MESQUITE, TX 75149-7418
(972) 288-1084
(297) 289-3374
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F0161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097767003
—
TX
01
—
88561N
MEDICARE ID
TX
Enumeration date
08/23/2006
Last updated
06/19/2018
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