Provider Demographics
NPI:1942639455
Name:DR. SAMUEL F BEAN, MD, PA
Entity Type:Organization
Organization Name:DR. SAMUEL F BEAN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-523-8200
Mailing Address - Street 1:1200 BINZ ST STE 1110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6935
Mailing Address - Country:US
Mailing Address - Phone:713-523-8200
Mailing Address - Fax:713-523-8678
Practice Address - Street 1:1200 BINZ ST STE 1110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6935
Practice Address - Country:US
Practice Address - Phone:713-523-8200
Practice Address - Fax:713-523-8678
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. SAMUEL F BEAN
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD0045207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathologyGroup - Single Specialty