Active NPI
Badreddin Samman, LSA
- Surgical Assistant
- Conroe, TX
National Provider Identifier
1770910887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00735
- Practice address
- 9915 Valance Way
Conroe, TX 77385-2015 - Phone
- (214) 227-2457
- Fax
- (214) 764-0880
- NPI assigned
- Oct 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 13-344 | TX | |
| Surgical Assistant | 246ZC0007X | SA00735 | TX | Primary |
Addresses
Primary practice location
9915 Valance Way
Conroe, TX 77385-2015
Mailing address
PO Box 2550
Rowlett, TX 75030-2550
Phone (214) 227-2457
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 |
|---|---|---|---|
| SA00735 | TX | MD | Surgical Assistant |
| 13-344 | TX | MD | Surgical Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BDS Surgical Support | Surgical Assistant | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgical Assistant
- Conroe, TX
- NPI 1639838840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1770910887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2550",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750302550",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9915 VALANCE WAY",
"city": "CONROE",
"state": "TX",
"postal_code": "773852015",
"telephone_number": "214-227-2457",
"fax_number": "214-764-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMAN",
"first_name": "BADREDDIN",
"credential": "LSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-03",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "TX",
"license": "13-344",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
- Sam Houston State University
- Sam's Club Optical (Sam's Club Optical 30-6421)
- Sam's Club Optical (Sam's Club Optical 30-4713)
- Mbwameh K Sama
- Samlenapeter LLC. (Conroe Pharmacy)
- Mohammed Adnan Ali Sammour, MD
- Sams East Inc (Sams Pharmacy)
- Samson Healthcare, LLC (Saint Peter's Hospice)
- Omarlys Montserrat Sanchez Araujo
- Alvaro Sanchez Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.