| Sam's Medical Center Pllc | |
|
2701 Berrywood Ct Richardson TX 75082-3803 | |
| (972) 808-0421 | |
| Not Available |
| Full Name | Sam's Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2701 Berrywood Ct, Richardson, Texas |
| Authorized Official Name and Position | Sam S Abraham (OWNER) |
| Authorized Official Contact | 9728080421 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sam's Medical Center Pllc 2701 Berrywood Ct Richardson TX 75082-3803 Ph: (972) 808-0421 | Sam's Medical Center Pllc 2701 Berrywood Ct Richardson TX 75082-3803 Ph: (972) 808-0421 |
| NPI Number | 1962849372 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Medicare PECOS PAC ID | 6901040005 |
|---|---|
| Medicare Enrollment ID | O20130911000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962849372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sam S Abraham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831349448 PECOS PAC ID: 4183784457 Enrollment ID: I20120815000337 |
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