Provider Demographics
NPI:1689109811
Name:PARKER LANE, SAMANTHA LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:LEE
Last Name:PARKER LANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:LEE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6400 FANNIN STREET
Mailing Address - Street 2:SUITE 2800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-7150
Mailing Address - Country:US
Mailing Address - Phone:713-704-7100
Mailing Address - Fax:713-704-7150
Practice Address - Street 1:6400 FANNIN STREET
Practice Address - Street 2:SUITE 2800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-7150
Practice Address - Country:US
Practice Address - Phone:713-704-7100
Practice Address - Fax:713-704-7150
Is Sole Proprietor?:No
Enumeration Date:2017-04-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXBP10060073390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program