Fantaye, Samuel Hailemariam

Fantaye, Samuel Hailemariam is an individual health care provider with primary practice located at 8435 Wurzbach Rd , San Antonio TX 78229-3921. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Fantaye, Samuel Hailemariam can be contacted via phone (210) 450-9800.

Contact Information

Primary practice address
8435 Wurzbach Rd San Antonio TX 78229-3921
Phone: (210) 450-9800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X T7553 Texas
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X T7553 Texas

Profile Details

NPI number 1336677186
LBN Legal business name Fantaye, Samuel Hailemariam
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2017
Last updated Nov 13th, 2023 - about last year

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.

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