NPIMap

Organization Active NPI

Samuels Valley Pediatric Services, PLLC

  • Specialist
  • Alamo, TX
National Provider Identifier
1255622312
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
N7169 Issued in TX
Legal business name
SAMUELS VALLEY PEDIATRIC SERVICES, PLLC
Practice address
1445 Duranta
Alamo, TX 78516
Phone
(361) 673-3111
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Martel George Samuels, M.D.
Title
Owner
Phone
(361) 673-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X N7169 TX Primary

Addresses

Primary practice location

1445 Duranta
Alamo, TX 78516

Mailing address

601 Trenton Rd # D-116
McAllen, TX 78504-2107
Phone (361) 673-3111

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

1445 Duranta
Alamo, TX 78516
Phone (361) 673-3111

NPI Registry JSON

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1255622312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TRENTON RD # D-116",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042107",
            "telephone_number": "361-673-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 DURANTA",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "361-673-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS VALLEY PEDIATRIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "MARTEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-673-3111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "N7169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 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.