Provider Demographics
NPI:1497975999
Name:SAMUELS PSYCHIATRIC ASSOCIATES
Entity Type:Organization
Organization Name:SAMUELS PSYCHIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:VENEGAS
Authorized Official - Last Name:SAMUELS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-627-9400
Mailing Address - Street 1:4550 POST OAK PLACE DR
Mailing Address - Street 2:SUITE 248
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-3137
Mailing Address - Country:US
Mailing Address - Phone:713-627-9400
Mailing Address - Fax:713-627-9402
Practice Address - Street 1:4550 POST OAK PLACE DR
Practice Address - Street 2:SUITE 248
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-3165
Practice Address - Country:US
Practice Address - Phone:713-627-9400
Practice Address - Fax:713-627-9402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7959106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty