| Elizabeth Samuel, Md | |
|
4325 N Josey Ln Plaza 3, Suite 211 Carrollton TX 75010-4635 | |
| (214) 483-5665 | |
| (214) 483-5684 |
| Full Name | Elizabeth Samuel, Md |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4325 N Josey Ln, Carrollton, Texas |
| Authorized Official Name and Position | Elizabeth Samuel (NEUROLOGY/CLINICAL NEUROPHYSIOLOGY) |
| Authorized Official Contact | 2142744706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Samuel, Md 4325 N Josey Ln Plaza 3, Suite 211 Carrollton TX 75010-4635 Ph: (214) 483-5665 | Elizabeth Samuel, Md 4325 N Josey Ln Plaza 3, Suite 211 Carrollton TX 75010-4635 Ph: (214) 483-5665 |
| NPI Number | 1215203625 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 07/10/2012 |
| Medicare PECOS PAC ID | 1951567155 |
|---|---|
| Medicare Enrollment ID | O20120716000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215203625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M0252 (Texas) | Primary |
| Provider Name | Elizabeth Samuel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114956539 PECOS PAC ID: 2961441233 Enrollment ID: I20050426001166 |
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