Provider Demographics
NPI:1598856312
Name:SAMMONS, ELENA VLADIMIROVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:VLADIMIROVNA
Last Name:SAMMONS
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 1:15706 SEEKERS ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-3302
Mailing Address - Country:US
Mailing Address - Phone:210-858-6199
Mailing Address - Fax:
Practice Address - Street 1:15706 SEEKERS ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-3302
Practice Address - Country:US
Practice Address - Phone:210-858-6199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235709-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology