Organization Active NPI

Samuels Pediatrics Texas, PLLC

  • Pediatrics Physician
  • Alamo, TX
National Provider Identifier
1346891694
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAMUELS PEDIATRICS TEXAS, PLLC
Practice address
427 E Duranta Ave Ste 102
Alamo, TX 78516-3409
Phone
(956) 781-4792
NPI assigned
Sep 26, 2019
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Dr. Martel George Samuels, MD
Title
President
Phone
(361) 673-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

427 E Duranta Ave Ste 102
Alamo, TX 78516-3409

Mailing address

9065 Watercrest Cir E
Parkland, FL 33076-2850
Phone (361) 673-3111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1346891694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9065 WATERCREST CIR E",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330762850",
            "telephone_number": "361-673-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 E DURANTA AVE STE 102",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785163409",
            "telephone_number": "956-781-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS PEDIATRICS TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "MARTEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-673-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "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 May 13, 2020; 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.