Bsoul, Samer A
Bsoul, Samer A is an sole proprietor health care provider with primary practice located at 8111 Mainland Dr Suite 102, San Antonio TX 78240-3748. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bsoul, Samer A can be contacted via phone (210) 523-2700.Contact Information
Primary practice address
8111 Mainland Dr Suite 102
San Antonio TX 78240-3748
Phone: (210) 523-2700
Fax: (210) 523-2701
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 21747 | Texas |
Profile Details
| NPI number | 1609965276 |
|---|---|
| LBN Legal business name | Bsoul, Samer A |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Sep 9th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609965276 | NPPES |
| Texas | MEDICAID | 180497302 | |
| Texas | MEDICAID | 180497304 | |
| Texas | MEDICAID | 180497303 |
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