Active NPI
Samson Ediae
- Land Ambulance
- Houston, TX
National Provider Identifier
1689937906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1000744
- Practice address
- 9630 Clarewood Dr
Suite B-6
Houston, TX 77036-3512 - Phone
- (713) 271-2066
- Fax
- (713) 271-2088
- NPI assigned
- Jun 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1000744 | TX | Primary |
Addresses
Primary practice location
9630 Clarewood Dr
Suite B-6
Houston, TX 77036-3512
Mailing address
9630 Clarewood Dr
Suite B-6
Houston, TX 77036-3512
Phone (713) 271-2066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000744 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1689937906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9630 CLAREWOOD DR",
"address_2": "SUITE B-6",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363512",
"telephone_number": "713-271-2066",
"fax_number": "713-271-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9630 CLAREWOOD DR",
"address_2": "SUITE B-6",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770363512",
"telephone_number": "713-271-2066",
"fax_number": "713-271-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDIAE",
"first_name": "SAMSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "1000744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Edgehealth Laboratories LLC
- Edgehealth Laboratories LLC
- Mary E Edgerton, MD
- Yolonda M. Edgerton, SAC
- Karen Edgington
- Edicare Professional Healthcare Services, Inc
- Edify Behavioral Management LLC
- Edihumble Home Healthcare Incorporated
- Susan Omwanghe Edionwe, M.D.
- Hasini Nuwangi Ediriweera, M.D., PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.