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David L. Samuel, M.d. A Proffessional Medical Corporation
Medical Specialty Clinic/Center in Mandeville, Louisiana
NPI 1497041008

David L. Samuel, M.d. A Proffessional Medical Corporation is a Medical Specialty Clinic/Center based in Mandeville, LA and is specialized in Medical Specialty. David L. Samuel, M.d. A Proffessional Medical Corporation practices in Mandeville, LA. The NPI Number for David L. Samuel, M.d. A Proffessional Medical Corporation is 1497041008 and holds a License No. 10711R (Louisiana).

The current practice location address for David L. Samuel, M.d. A Proffessional Medical Corporation is 233 Saint Ann Dr, Mandeville, LA and can be reached out via phone at 985-624-6650 and via fax at 985-674-3634.

Location: 233 Saint Ann Dr, Mandeville, LA, 70471-3395
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497041008
Provider Name
David L. Samuel, M.d. A Proffessional Medical Corporation
Credential
Provider Entity Type
Organization
Address
233 Saint Ann Dr, Mandeville, LA, 70471-3395
Phone Number
985-624-6650
Fax Number
985-674-3634
Provider Enumeration Date
06/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1991562 05 LA
institution
Provider Business Practice Location Address Details
Address
233 Saint Ann Dr
City
Mandeville
State
Louisiana
Zip
70471-3395
Phone Number
985-624-6650
Fax Number
985-674-3634
person
Provider Business Mailing Address Details
Address
233 Saint Ann Dr
City
Mandeville
State
Louisiana
Zip
70471-3395
Phone Number
985-624-6650
Fax Number
985-674-3634
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
10711R (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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