Dr Ahmad Ismail El Samra, MD | |
120 E Harris Ave, San Angelo, TX 76903-5904 | |
(325) 653-6741 | |
Not Available |
Full Name | Dr Ahmad Ismail El Samra |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 120 E Harris Ave, San Angelo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407007628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | U0769 (Texas) | Primary |
Entity Name | Shannon Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
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Dr Ahmad Ismail El Samra, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Dr Ahmad Ismail El Samra, MD 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 653-6741 |
Alejandra C Ayestaran Cassani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2141 Hamilton Way, Ste 100, San Angelo, TX 76904 Phone: 325-245-4301 Fax: 325-245-4034 | |
Hector Acton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Phone: 325-245-4000 | |
Sara Elizabeth Halfmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3555 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 | |
Elizabeth L Young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Stephen P Sawyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Fernando Gonzalez, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Dr. Jane Rider, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Phone: 325-245-4000 |