Provider Demographics
NPI:1972723450
Name:WEST, SAMUEL ABE III (DO)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ABE
Last Name:WEST
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:BLDG 87 BOX 5218 CAMP MABRY
Mailing Address - Street 2:6TH CIVIL SUPPORT TEAM (WEAPONS OF MASS DESTRUCTION)
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78763-5218
Mailing Address - Country:US
Mailing Address - Phone:512-782-1900
Mailing Address - Fax:512-782-1949
Practice Address - Street 1:BLDG 87 BOX 5218 CAMP MABRY
Practice Address - Street 2:6TH CIVIL SUPPORT TEAM (WEAPONS OF MASS DESTRUCTION) TX
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78763-5218
Practice Address - Country:US
Practice Address - Phone:512-782-1900
Practice Address - Fax:512-782-1949
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXM3791207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine