Provider Demographics
NPI:1508455635
Name:SAMBURSKY, ALI ADELA (DNP, AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:ALI
Middle Name:ADELA
Last Name:SAMBURSKY
Suffix:
Gender:F
Credentials:DNP, AGACNP-BC
Other - Prefix:MS
Other - First Name:ALI
Other - Middle Name:ADELA
Other - Last Name:PAYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-486-7746
Mailing Address - Fax:713-500-8141
Practice Address - Street 1:6400 FANNIN ST STE 2800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1534
Practice Address - Country:US
Practice Address - Phone:713-486-8000
Practice Address - Fax:713-795-8115
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11009996363LA2100X
TX1112785363LA2100X
MO2024007851363LA2100X
NC5019397363L00000X
LA234371363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner