Organization Active NPI

Clinic at Samsons

  • Clinic/Center
  • Pearland, TX
National Provider Identifier
1265800940
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLINIC AT SAMSONS
Practice address
3129 Kingsley Drive
Unit 610
Pearland, TX 77584
Phone
(832) 850-7162
Fax
(281) 946-8466
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Dr. Stella Ada-Ihuoma Ndukwe, MD
Title
President
Phone
(832) 850-7162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3129 Kingsley Drive
Unit 610
Pearland, TX 77584

Mailing address

17514 Endel Way
Richmond, TX 77407-2762
Phone (713) 459-9892

National Provider Directory

National Provider Directory

Locations

3129 Kingsley Dr
Ste 610
Pearland, TX 77584
Phone (832) 850-7162

Practitioners & affiliated clinicians

Practitioners 2

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": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1265800940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17514 ENDEL WAY",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072762",
            "telephone_number": "713-459-9892",
            "fax_number": "281-946-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 KINGSLEY DRIVE",
            "address_2": "UNIT 610",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "77584",
            "telephone_number": "832-850-7162",
            "fax_number": "281-946-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC AT SAMSONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "NDUKWE",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "ADA-IHUOMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-850-7162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.