SAMUEL EDWARDS


Address: 3601 4th St # Ms 9410, Lubbock, TX 79430-0002
Phone: 8067433381

SAMUEL EDWARDS (NPI# 1255852505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255852505
Entity Type Individual
Full Name SAMUEL EDWARDS
Credential MD
Practice Address 3601 4th St # Ms 9410
Lubbock
TX 79430-0002
Practice Telephone 8067433381
Mailing Telephone 8067433381
Enumeration Date 2017-06-27
Last Update Date 2017-07-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program BP10059582 TX Student, Health Care

Other Providers SAMUEL EDWARDS

NPI Name Taxonomy Address Enumeration
1386706000 Samuel M Edwards Specialist 750 W Plymouth Ave, Deland, FL 32720-3282 2006-12-16
1740624345 Samuel Brandon Edwards Family Medicine 1500 S Main St, Fort Worth, TX 76104-4917 2013-04-25
1295962199 Samuel Timothy Edwards Internal Medicine 150 S Huntington Ave, 152g, Boston, MA 02130-4817 2009-06-18
1629269469 Samuel T Edwards Physical Therapist 68 Sweeten Creek Rd, Asheville, NC 28803-2318 2007-08-07
1508089442 Samuel Eric Edwards Radiology 500 S University Ave, Suite 600, Little Rock, AR 72205-5302 2007-04-10

Office Location

Street Address 3601 4TH ST # MS 9410
City LUBBOCK
State TX
Zip Code 79430-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124048467 John Pixley Internal Medicine 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2006-07-20
1821605395 Mostafa Mohamed Ali Abohelwa Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2020-09-28
1679197263 Upama Sharma Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2020-05-30
1487277224 Declan Kirk Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2020-05-27
1023631876 Sima Lina Shahbandar Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2020-05-27
1215599261 Siroj Dejhansathit Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2019-06-30
1588222186 Flint Taylor Smith Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2019-05-30
1669030268 Alexandra Wichmann Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2019-05-30
1013575547 Ty Whisenant Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2019-05-30
1326604075 Shane Metzler Student in an Organized Health Care Education/Training Program 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 2019-05-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702473 Emily Bouffard Student in an Organized Health Care Education/Training Program 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 2020-05-27
1891350310 Erin Leigh Burton Student in an Organized Health Care Education/Training Program 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 2019-05-09
1851861439 Zachery Brian Sneed Counselor 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 2018-11-27
1831683481 Swagat Parajulee Student in an Organized Health Care Education/Training Program 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 2018-06-18
1649711904 William David Boothe Jr. Dermatology 3601 4th St Stop 6211, Lubbock, TX 79430 2017-03-19
1982144945 Kazutaka Araki Specialist/Technologist 3601, 4th St, Lubbock, TX 79430 2017-02-24
1659725125 Thomas Gregory Wyatt Student in an Organized Health Care Education/Training Program 3601 4th St Rm 3a122b, Lubbock, TX 79430 2016-04-20
1619391760 Chinyere Mbagwu General Practice 3601 4th St # Ms 8143, Lubbock, TX 79430 2014-02-10
1982044111 Eileen Mary Sprys Family Medicine 3601 4th St., Stop 8143, Lubbock, TX 79430 2013-07-02
1205196243 Hilmi Alam Family Medicine Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 2012-05-24
Find all providers in zip 79430

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy 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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427674399 Nicole Lynn Rosteski Student in an Organized Health Care Education/Training Program 3101 96th St, Lubbock, TX 79423 2020-06-17
1942824214 Kaka Leigh Adams Student in an Organized Health Care Education/Training Program 3601 4th St Ttuhsc Dept-pediatrics, Lubbock, TX 79430-0001 2020-06-03
1104440403 Nadia Tello Student in an Organized Health Care Education/Training Program 3601 4th St Stop 8315, Lubbock, TX 79430-8315 2020-06-02
1154945517 Nicholas Quigley Student in an Organized Health Care Education/Training Program Ttuhsc 3601 4th Street Stop 6211, Lubbock, TX 79430-0001 2020-06-02
1265056683 Chandon C Loya Student in an Organized Health Care Education/Training Program Family Medicine Residency Program Ttu Hsc, 3601 4th Street Mail Stop 8143, Lubbock, TX 79430-0001 2020-06-01
1659995256 Joshua Daniel Brogan Student in an Organized Health Care Education/Training Program Internal Med Dept Lbk Genl 3601 4th St Stop 9410, Lubbock, TX 79430-9410 2020-05-31
1932722873 Aron Tidrick Student in an Organized Health Care Education/Training Program 3601 4th St Rm 1b350, Lubbock, TX 79430-0002 2020-05-27
1730702473 Emily Bouffard Student in an Organized Health Care Education/Training Program 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 2020-05-27
1235752098 Shannon Corbitt Student in an Organized Health Care Education/Training Program 3601 Fourth Street Ttuhsc Department of Surgery Ms 8312, Lubbock, TX 79430-0001 2020-05-27
1104449917 Jacob Burton Student in an Organized Health Care Education/Training Program Department of Anesthesiology 3601 4th St Ms 8182 1b350b, Lubbock, TX 79430-8182 2020-05-27
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79430

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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