Provider Demographics
NPI:1669010815
Name:SAMSARA HEALTHCARE PLLC
Entity Type:Organization
Organization Name:SAMSARA HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DNP
Authorized Official - Prefix:
Authorized Official - First Name:IVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINOSA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:915-979-7402
Mailing Address - Street 1:6090 SURETY DR # 430-G
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-2061
Mailing Address - Country:US
Mailing Address - Phone:915-979-7402
Mailing Address - Fax:915-300-1947
Practice Address - Street 1:6090 SURETY DR # 430-G
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2061
Practice Address - Country:US
Practice Address - Phone:915-979-7402
Practice Address - Fax:915-300-1947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty