NPIMap

Organization Active NPI

Samuels Valley Pediatric Services

Doing business as Pediatric Plus Clinic

  • Pediatrics Physician
  • Alamo, TX
National Provider Identifier
1144580044
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N7169 Issued in TX
Legal business name
SAMUELS VALLEY PEDIATRIC SERVICES
Doing business as
Pediatric Plus Clinic
Practice address
427 E Duranta Ave
102
Alamo, TX 78516-3407
Phone
(956) 702-2444
NPI assigned
May 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Martel Samuels, MD
Title
Owner
Phone
(956) 283-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X N7169 TX Primary

Addresses

Primary practice location

427 E Duranta Ave
102
Alamo, TX 78516-3407

Mailing address

427 E Duranta Ave
102
Alamo, TX 78516-3407
Phone (956) 702-2444

Other names 1

  • PEDIATRIC PLUS CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Plus Clinic8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

427 E Duranta Ave
Ste 102
Alamo, TX 78516
Phone (956) 702-2444

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1144580044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 E DURANTA AVE",
            "address_2": "102",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163407",
            "telephone_number": "956-702-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E DURANTA AVE",
            "address_2": "102",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163407",
            "telephone_number": "956-702-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS VALLEY PEDIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "MARTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-283-0566",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC PLUS CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.