Active NPI
Samer Tawakkol MD PA
- Pediatric Orthopaedic Surgery Physician
- Houston, TX
National Provider Identifier
1902025000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- L1762
- Legal business name
- SAMER TAWAKKOL MD PA
- Practice address
- 12121 Richmond Ave Ste 408
Houston, TX 77082-2439 - Phone
- (281) 293-8307
- Fax
- (281) 293-9984
- NPI assigned
- Apr 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samer Tawakkol, MD
- Title
- President
- Phone
- (281) 293-8307
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | L1762 | TX | Primary |
Addresses
Primary practice location
12121 Richmond Ave Ste 408
Houston, TX 77082-2439
Mailing address
12121 Richmond Ave Ste 408
Houston, TX 77082-2439
Phone (281) 293-8307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152347401 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1518937358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400630400000",
"number": "1902025000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE STE 408",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822439",
"telephone_number": "281-293-8307",
"fax_number": "281-293-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12121 RICHMOND AVE STE 408",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822439",
"telephone_number": "281-293-8307",
"fax_number": "281-293-9984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMER TAWAKKOL MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-25",
"last_updated": "2014-05-21",
"status": "A",
"authorized_official_last_name": "TAWAKKOL",
"authorized_official_first_name": "SAMER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-293-8307",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "TX",
"license": "L1762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152347401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.