Samra Radomsky
Physician Assistant in Houston, TX. Individual provider (NPI-1).
NPI number1982254199
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1982254199
- Entity type
- Individual (NPI-1)
- Name
- Samra Radomsky
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2019
- Certification date
- Sep 9, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA16199 | TX | Yes |
Other names
- Samra Mrkovic (Former Name)
Practice location
7200 Cambridge StHouston, TX 77030-4202
Phone 713-798-2400
Mailing address
195 Canal StMalden, MA 02148-6701
Phone 781-338-0000
Other practice locations
195 Canal St
Malden, MA 02148-6701
Malden, MA 02148-6701
Phone 781-338-0000
1919 Old Spanish Trail
Houston, TX 77054
Houston, TX 77054
Phone 171-379-8432
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