Provider Demographics
NPI:1982615134
Name:SAMS, HUNTER H (MD)
Entity Type:Individual
Prefix:
First Name:HUNTER
Middle Name:H
Last Name:SAMS
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 1:7300 RANCH ROAD 2222, BLDG 1, STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-3255
Mailing Address - Country:US
Mailing Address - Phone:512-759-8932
Mailing Address - Fax:512-233-2711
Practice Address - Street 1:3773 E CHERRY CREEK NORTH DR STE 970
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-9809
Practice Address - Country:US
Practice Address - Phone:303-388-5629
Practice Address - Fax:303-321-7586
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42754207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
BS8932712OtherDEA
I19728Medicare UPIN
COC800114Medicare PIN