Provider Demographics
NPI:1821397621
Name:SAMUEL L. ATTIA, M.D., P.A.
Entity Type:Organization
Organization Name:SAMUEL L. ATTIA, M.D., P.A.
Other - Org Name:TEXAS UROLOGY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:LABIB
Authorized Official - Last Name:ATTIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-790-0557
Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:SUITE 1460
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-790-0557
Mailing Address - Fax:713-790-0592
Practice Address - Street 1:6624 FANNIN ST
Practice Address - Street 2:SUITE 1460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2312
Practice Address - Country:US
Practice Address - Phone:713-790-0557
Practice Address - Fax:713-790-0592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty