Samir Sobhy Kamel Ebeade, M.D.,P.A.
Individual provider Active NPI Specialist · Orange, TX
NPI 1992969018 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1992969018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- H1075 (TX)
- Practice address
- 3009 Macarthur Dr
Orange, TX 77630-4707 - Phone
- (409) 882-0152
- Fax
- (409) 882-0809
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H1075 | TX | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | H1075 | TX | Yes |
Addresses
Primary practice location
3009 Macarthur Dr
Orange, TX 77630-4707
Mailing address
3009 Macarthur Dr
Orange, TX 77630-4707
Phone (409) 882-0152
Other providers in Orange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.