Provider Demographics
NPI:1003939901
Name:SAMUELS, YNES RODRIGUEZ (DC, ACN, MD)
Entity Type:Individual
Prefix:DR
First Name:YNES
Middle Name:RODRIGUEZ
Last Name:SAMUELS
Suffix:
Gender:F
Credentials:DC, ACN, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13803 FAIR PARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-3640
Mailing Address - Country:US
Mailing Address - Phone:281-782-2611
Mailing Address - Fax:281-741-7672
Practice Address - Street 1:9402 MESA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77028-1201
Practice Address - Country:US
Practice Address - Phone:713-633-1626
Practice Address - Fax:866-404-8005
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9920111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition