Provider Demographics
NPI:1134249972
Name:JAMIL, SAMINA (MD)
Entity type:Individual
Prefix:DR
First Name:SAMINA
Middle Name:
Last Name:JAMIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 691287
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-1287
Mailing Address - Country:US
Mailing Address - Phone:281-477-8660
Mailing Address - Fax:281-477-8662
Practice Address - Street 1:13211 HARGRAVE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4311
Practice Address - Country:US
Practice Address - Phone:281-477-8660
Practice Address - Fax:281-477-8662
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010480132080N0001X
TXK9536208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics