Provider Demographics
NPI:1255325114
Name:TUMA, SAMIR N (MD)
Entity type:Individual
Prefix:DR
First Name:SAMIR
Middle Name:N
Last Name:TUMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9246 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-5817
Mailing Address - Country:US
Mailing Address - Phone:713-526-5105
Mailing Address - Fax:713-526-5805
Practice Address - Street 1:1213 HERMANN DR
Practice Address - Street 2:SUITE 700
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7018
Practice Address - Country:US
Practice Address - Phone:713-526-5105
Practice Address - Fax:713-526-5805
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA26627174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035736001Medicaid
TXA26627Medicare UPIN
TX035736001Medicaid