Provider Demographics
NPI:1083119440
Name:HYDE, SAMUEL MAYER (MMSC)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:MAYER
Last Name:HYDE
Suffix:
Gender:M
Credentials:MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1400 PRESSLER ST # 17.5037
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3722
Mailing Address - Country:US
Mailing Address - Phone:713-792-6691
Mailing Address - Fax:713-745-1921
Practice Address - Street 1:1400 PRESSLER ST # 17.5037
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3722
Practice Address - Country:US
Practice Address - Phone:713-792-6691
Practice Address - Fax:713-745-1921
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS