Provider Demographics
NPI:1760708861
Name:FEKRY, SAMUEL (M D)
Entity Type:Individual
Prefix:
First Name:SAMUEL
Middle Name:
Last Name:FEKRY
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:ESSAM
Other - Middle Name:
Other - Last Name:FEKRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:M D
Mailing Address - Street 1:7001 CORPORATE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-5113
Mailing Address - Country:US
Mailing Address - Phone:713-773-0803
Mailing Address - Fax:713-275-0951
Practice Address - Street 1:3000 ALDINE MAIL ROUTE RD
Practice Address - Street 2:BUILDING C, SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039
Practice Address - Country:US
Practice Address - Phone:713-773-0803
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08878800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology