Individual
SAMUEL PETER MACKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-6526
Mailing address
1133 JOHN FREEMAN BLVD STE JJLS80, HOUSTON, TX 77030-2809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
V2151
TX
208D00000X
General Practice Physician
Primary
V2151
TX
Other
Enumeration date
04/08/2021
Last updated
09/19/2024
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