person
Dr. Samuel Terrence Poulos, MD
Student in an Organized Health Care Education/Training Program in Austin, Texas
NPI 1093163321

Samuel Terrence Poulos is a Student in an Organized Health Care Education/Training Program based in Austin, TX. Samuel Terrence Poulos practices in Austin, TX and has the professional credentials of MD. The NPI Number for Samuel Terrence Poulos is 1093163321 and holds a License No. BP10056859 (Texas).

The current practice location address for Samuel Terrence Poulos is 601 E 15Th St, Austin, TX and can be reached out via phone at 512-324-8355.

Location: 601 E 15Th St, Austin, TX, 78701-1930
person
Provider Profile Details
NPI Number
1093163321
Provider Name
Samuel Terrence Poulos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
601 E 15Th St, Austin, TX, 78701-1930
Phone Number
512-324-8355
Fax Number
Provider Enumeration Date
05/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
601 E 15Th St
City
State
Zip
78701-1930
Phone Number
512-324-8355
Fax Number
person
Provider Business Mailing Address Details
Address
601 E 15Th St
City
State
Zip
78701-1930
Phone Number
512-324-8355
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
BP10056859 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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