David L. Samuel, M.D. A Proffessional Medical Corporation

LBN: David L. Samuel, M.D. A Proffessional Medical Corporation
David L. Samuel, M.D. A Proffessional Medical Corporation is an health care organization with primary practice located at 233 Saint Ann Dr Suite 3, Mandeville LA 70471-3395. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. David L. Samuel, M.D. A Proffessional Medical Corporation can be contacted via phone (985) 624-6650, or through Samuel, David L via phone (985) 624-6650.

Contact Information

Primary practice address
233 Saint Ann Dr Suite 3 Mandeville LA 70471-3395
Fax: (985) 674-3634
Website:
Authorized official contact:
Name: Samuel, David L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 10711R Louisiana

Profile Details

NPI number 1497041008
LBN Legal business name David L. Samuel, M.D. A Proffessional Medical Corporation
DBA Doing business as
Authorized official Samuel, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497041008 NPPES
Louisiana MEDICAID 1991562

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