Provider Demographics
NPI:1376585992
Name:THOMAS A. SAMES, M.D., P.A.
Entity Type:Organization
Organization Name:THOMAS A. SAMES, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-576-1032
Mailing Address - Street 1:PO BOX 3068
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79116-3068
Mailing Address - Country:US
Mailing Address - Phone:806-576-1032
Mailing Address - Fax:806-576-1032
Practice Address - Street 1:19410 MOCKINGBIRD RD
Practice Address - Street 2:
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79015-5848
Practice Address - Country:US
Practice Address - Phone:806-576-1032
Practice Address - Fax:806-576-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8372208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158703202Medicaid
TX158703202Medicaid