Provider Demographics
NPI:1073606307
Name:SAMUELS, KAREN VENEGAS (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:VENEGAS
Last Name:SAMUELS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:VENEGAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4550 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 248
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3165
Mailing Address - Country:US
Mailing Address - Phone:713-627-9400
Mailing Address - Fax:281-589-1525
Practice Address - Street 1:4550 POST OAK PLACE DR
Practice Address - Street 2:SUITE 248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3165
Practice Address - Country:US
Practice Address - Phone:713-627-9400
Practice Address - Fax:281-589-1525
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7959101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S6480OtherBLUE CROSS BLUE SHIELD
TX8S6480OtherBLUE CROSS BLUE SHIELD