Provider Demographics
NPI:1376294801
Name:SINUS CENTER & ENT SPECIALISTS OF HOUSTON
Entity Type:Organization
Organization Name:SINUS CENTER & ENT SPECIALISTS OF HOUSTON
Other - Org Name:SCENT MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:SAMUELSON
Authorized Official - Last Name:HERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-223-9785
Mailing Address - Street 1:2450 FONDREN RD STE 130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2398
Mailing Address - Country:US
Mailing Address - Phone:833-723-6863
Mailing Address - Fax:
Practice Address - Street 1:2450 FONDREN RD STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2398
Practice Address - Country:US
Practice Address - Phone:833-723-6863
Practice Address - Fax:860-751-1452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty