| Jesus Enrique Samaniego Jr, MD | |
|
17198 St Lukes Way, Suite 540, The Woodlands, TX 77384-8011 | |
| (713) 442-1900 | |
| Not Available |
| Full Name | Jesus Enrique Samaniego Jr |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 17198 St Lukes Way, The Woodlands, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518053792 | NPI | - | NPPES |
| 104760702 | Medicaid | TX | |
| 86X941 | Other | TX | BCBS |
| 104760703 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | H2006 (Texas) | Primary |
| Entity Name | Kelsey-seybold Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Enrique Samaniego Jr, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Jesus Enrique Samaniego Jr, MD 17198 St Lukes Way, Suite 540, The Woodlands, TX 77384-8011 Ph: (713) 442-1900 |
John Wakefield Durst, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1001 Medical Plaza Dr Ste 280, The Woodlands, TX 77380 Phone: 281-363-4450 Fax: 281-292-3462 | |
Natalie L Drake, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17350 St Lukes Way Ste 350, The Woodlands, TX 77384 Phone: 281-203-5115 Fax: 281-203-5119 | |
Jennifer Honeycutt Breazeale, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17198 St Lukes Way, Suite 540, The Woodlands, TX 77384 Phone: 713-442-1900 | |
Dr. Jon M Rawson, M.D. PH.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 Medical Plaza Dr Ste 280, The Woodlands, TX 77380 Phone: 281-363-4445 Fax: 281-292-4419 | |
Christina Nestlerode, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 17198 St Lukes Way Ste 440, The Woodlands, TX 77384 Phone: 936-266-2500 | |
Latoia Monneque Marks, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 17198 St. Luke's Way, The Woodlands, TX 77384 Phone: 936-266-2500 | |
Dr. Erica Ruth Chapman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 17198 St Lukes Way Ste 540, The Woodlands, TX 77384 Phone: 713-442-1900 |