Samuel T Gardner Iii, MD | |
12141 Richmond Ave, Houston, TX 77082-2408 | |
(281) 799-8600 | |
(281) 596-5947 |
Full Name | Samuel T Gardner Iii |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 12141 Richmond Ave, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801871538 | NPI | - | NPPES |
153992601 | Medicaid | TX | |
8G4159 | Other | TX | BCBSTX PROV NO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | L4386 (Texas) | Primary |
Entity Name | Travis County Emergency Physicians Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
Entity Name | Emergigroup Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962456459 PECOS PAC ID: 0941283238 Enrollment ID: O20041004000857 |
Entity Name | Kirby Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568699445 PECOS PAC ID: 7517010093 Enrollment ID: O20090730000543 |
Entity Name | West Houston Emergency Physicians, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568763290 PECOS PAC ID: 3476738030 Enrollment ID: O20110425000536 |
Entity Name | San Jacinto Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205225299 PECOS PAC ID: 7719203629 Enrollment ID: O20150311000793 |
Mailing Address | Practice Location Address |
---|---|
Samuel T Gardner Iii, MD Po Box 200993, Houston, TX 77216-0993 Ph: (281) 784-1111 | Samuel T Gardner Iii, MD 12141 Richmond Ave, Houston, TX 77082-2408 Ph: (281) 799-8600 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Lesley Anne Osborn, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6431 Fannin St, Suite Jjl 431, Houston, TX 77030 Phone: 713-500-7878 Fax: 713-500-0758 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Thomas Alan Gerbus, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St Ste Jjl 431, Houston, TX 77030 Phone: 713-500-7878 Fax: 713-500-0758 |