NPIMap

Organization Active NPI

Samuels Valley Professional Services,LLC

  • Pediatrics Physician
  • Palmview, TX
National Provider Identifier
1568706992
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SAMUELS VALLEY PROFESSIONAL SERVICES,LLC
Practice address
204 Palmview Dr Ste a
Palmview, TX 78572-8176
Phone
(956) 283-0566
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Martel Samuels, M.D,NPI 1760793566
Title
Owner
Phone
(361) 673-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

204 Palmview Dr Ste a
Palmview, TX 78572-8176

Mailing address

1449 W Duranta Ave Ste 3
Alamo, TX 78516-2328
Phone (956) 283-0566

Other names 1

  • Pediatrics 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

204 Palmview Dr
Ste A
Palmview, TX 78572
Phone (956) 283-0566

Practitioners & affiliated clinicians

Practitioners 1

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": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1568706992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 W DURANTA AVE STE 3",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162328",
            "telephone_number": "956-283-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PALMVIEW DR STE A",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785728176",
            "telephone_number": "956-283-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUELS VALLEY PROFESSIONAL SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "MARTEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-673-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics Plus Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palmview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.