Provider Demographics
NPI:1114123429
Name:SAMUEL, AMBER RACHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:RACHAEL
Last Name:SAMUEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9180 PINECROFT DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3880
Mailing Address - Country:US
Mailing Address - Phone:327-026-4038
Mailing Address - Fax:561-209-5419
Practice Address - Street 1:9180 PINECROFT DR STE 310
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77380-2794
Practice Address - Country:US
Practice Address - Phone:281-419-4600
Practice Address - Fax:281-419-3040
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA68854207VM0101X
PAMT188830207VX0201X
TXP6517207VM0101X
IN01080480A207VM0101X
FLME136362207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology