Organization Active NPI

Sameer Fino MD

  • Specialist
  • Dallas, TX
National Provider Identifier
1104017185
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J2004 Issued in TX
Legal business name
SAMEER FINO MD
Practice address
14721 Coit Rd
Dallas, TX 75254-8119
Phone
(214) 692-9300
Fax
(214) 692-9305
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sameer Andoni Fino
Title
Medical Doctor
Phone
(214) 692-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X J2004 TX Primary

Addresses

Primary practice location

14721 Coit Rd
Dallas, TX 75254-8119

Mailing address

1316 Prescott Dr
Murphy, TX 75094-5100
Phone (214) 692-9300

Other identifiers 1

IdentifierTypeStateIssuer
099906202MedicaidTX

National Provider Directory

National Provider Directory

Locations

14721 Coit Rd
Dallas, TX 75254
Phone (214) 692-9300

1711 S Henderson Blvd
Ste 600
Kilgore, TX 75662
Phone (903) 984-3140

701 E Marshall Ave
Ste 412
Longview, TX 75601
Phone (903) 236-2700

10 Medical Center Blvd
Ste K
Lufkin, TX 75904
Phone (409) 637-7078

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1104017185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 PRESCOTT DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750945100",
            "telephone_number": "214-692-9300",
            "fax_number": "214-692-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14721 COIT RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548119",
            "telephone_number": "214-692-9300",
            "fax_number": "214-692-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMEER FINO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "FINO",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_middle_name": "ANDONI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "214-692-9300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J2004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099906202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.