Samuel C. Chan, D.O., P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SAMUEL C. CHAN, D.O., P.A.

Practice address

5787 S Hampton Rd
Suite 300, LB 134
Dallas, TX 75232-2255

Phone

(214) 330-3034

Fax

(214) 330-3096

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel C. Chan, D.O.

Title

President

Phone

(214) 330-3034

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1881656791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD",
            "address_2": "SUITE 300, LB 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322255",
            "telephone_number": "214-330-3034",
            "fax_number": "214-330-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD",
            "address_2": "SUITE 300, LB 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322255",
            "telephone_number": "214-330-3034",
            "fax_number": "214-330-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C. CHAN, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-330-3034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079946202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00128N",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5900480001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sams East Inc
• Duke Staples Samson, MD
• Emily Sarah Samson
• Samuel a. Tyuluman, M.D., P.a.
• Samuel C Ngwu, M.D.
• Samuel J Listi & Margaret a Sowada
• Bernice S Samuel, FNP-C
• David Samuel, PHARMD RPH
• Elsabet Samuel
• Gincy Samuel, MD

• Primary Care Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.