Provider Demographics
NPI:1043685837
Name:SAMER TABEL P.C.
Entity type:Organization
Organization Name:SAMER TABEL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAMER
Authorized Official - Middle Name:
Authorized Official - Last Name:TABEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-719-7916
Mailing Address - Street 1:PO BOX 2330
Mailing Address - Street 2:
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-2330
Mailing Address - Country:US
Mailing Address - Phone:951-719-7916
Mailing Address - Fax:
Practice Address - Street 1:2420 BOB BULLOCK LOOP STE 18
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4490
Practice Address - Country:US
Practice Address - Phone:956-795-8900
Practice Address - Fax:956-795-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-06
Last Update Date:2015-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX252091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty