Provider Demographics
NPI:1669509006
Name:HAKIM, SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:HAKIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7909 FREDERICKSBURG RD
Mailing Address - Street 2:#110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3425
Mailing Address - Country:US
Mailing Address - Phone:210-614-4544
Mailing Address - Fax:210-679-3724
Practice Address - Street 1:11212 HIGHWAY 151
Practice Address - Street 2:SUITE # 180
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251-4498
Practice Address - Country:US
Practice Address - Phone:210-521-7333
Practice Address - Fax:210-679-3735
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2020-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM9337208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX201873301Medicaid
TX8L7302OtherMEDICARE
TX8L7302Medicare Oscar/Certification