Provider Demographics
NPI:1093304198
Name:SAMAR ASSISTANT SERVICES LLC
Entity Type:Organization
Organization Name:SAMAR ASSISTANT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASLAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-300-6688
Mailing Address - Street 1:12123 SONORA CANYON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6164
Mailing Address - Country:US
Mailing Address - Phone:281-300-6688
Mailing Address - Fax:
Practice Address - Street 1:12123 SONORA CANYON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-6164
Practice Address - Country:US
Practice Address - Phone:281-300-6688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty