Samuels, Todd Randall

Samuels, Todd Randall is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Samuels, Todd Randall can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (806) 791-6709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F8658 Texas

Profile Details

NPI number 1316942014
LBN Legal business name Samuels, Todd Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316942014 NPPES
Other 625944 FIRST HEALTH
Other 87473Y FIRST HEALTH
MEDICAID X4978 FIRST HEALTH

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