Erick David Samardak, is a
Licensed Vocational Nurse based in Bandera, Texas. Erick David Samardak is licensed to practice in Texas (license number 202172) and his current practice location is
159 Montague Dr, Bandera, Texas. He can be reached at his office (for appointments etc.) via phone at
(830) 460-3767.
NPI number for Erick David Samardak is 1649736307 and his current mailing address is 120 Abbeydell, Boerne, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649736307.
Provider's Profile
| Full Name | Erick David Samardak |
|---|
| Gender | Male |
|---|
| Speciality | Licensed Vocational Nurse |
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| Location | 159 Montague Dr, Bandera, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649736307
- Provider Enumeration Date: 02/18/2019
- Last Update Date: 02/18/2019
Medical Identifiers
Medical identifiers for Erick David Samardak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649736307 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 202172 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Erick David Samardak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Erick David Samardak,
120 Abbeydell,
Boerne, TX 78015-5103
Ph: (301) 910-4747 | Erick David Samardak,
159 Montague Dr,
Bandera, TX 78003
Ph: (830) 460-3767 |
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