Samuel Sama, | |
9719 Krier Ct, Converse, TX 78109-1947 | |
(908) 391-4857 | |
Not Available |
Full Name | Samuel Sama |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 9719 Krier Ct, Converse, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225382922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 807421 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN289672 (Georgia) | Primary |
Entity Name | Coffee Regional Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437120946 PECOS PAC ID: 4587656012 Enrollment ID: O20040402000287 |
Entity Name | Au Anesthesiology, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831440478 PECOS PAC ID: 0941437842 Enrollment ID: O20131223000682 |
Entity Name | Sentry Anesthesia Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Radius Anesthesia Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
Entity Name | Anesthesia Services Of Atlanta, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124657465 PECOS PAC ID: 6406252949 Enrollment ID: O20210908001767 |
Mailing Address | Practice Location Address |
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Samuel Sama, 9719 Krier Ct, Converse, TX 78109-1947 Ph: (908) 391-4857 | Samuel Sama, 9719 Krier Ct, Converse, TX 78109-1947 Ph: (908) 391-4857 |