Individual provider Active NPI

Joann F Samora-Mata, MD

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1639162936
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J0238 Issued in TX
Practice address
7400 Fannin
1050
Houston, TX 77054-0000
Phone
(713) 795-1004
Fax
(713) 796-9485
NPI assigned
Aug 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J0238 TX Primary

Addresses

Primary practice location

7400 Fannin
1050
Houston, TX 77054-0000

Mailing address

7400 Fannin
1050
Houston, TX 77054-0000
Phone (713) 795-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000514 TX Practitioner - Obstetrics/Gynecology 5193884732 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J0238TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 14, 2020 Accepting new patients
Dynamic Anesthesia Providers PLLC Obstetrics & Gynecology CurrentSince Jan 1, 2023 Accepting new patients
San Jacinto Methodist Hospital Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

4615 Southwest Fwy
Ste 850
Houston, TX 77027
Phone (281) 475-4428

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

26710 Interstate 45
Ste B
Spring, TX 77386
Phone (281) 419-1117

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1639162936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN",
            "address_2": "1050",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770540000",
            "telephone_number": "713-795-1004",
            "fax_number": "713-796-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN",
            "address_2": "1050",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770540000",
            "telephone_number": "713-795-1004",
            "fax_number": "713-796-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMORA-MATA",
        "first_name": "JOANN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-23",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J0238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.