Provider Demographics
NPI:1326067612
Name:SAMPAYO, ESTHER M (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:M
Last Name:SAMPAYO
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 1:6621 FANNIN ST
Mailing Address - Street 2:SUITE A21/MC-A2210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2303
Mailing Address - Country:US
Mailing Address - Phone:832-824-6513
Mailing Address - Fax:832-825-5424
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:SUITE A21/MC-A2210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:832-824-6513
Practice Address - Fax:832-825-5424
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD421663208000000X, 2080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX298474201Medicaid
NJ0026581Medicaid
PA100897909Medicaid
NJ0026581Medicaid
PA100897909Medicaid