Provider Demographics
NPI:1861540049
Name:SAMAR, ASLAM (LSA)
Entity type:Individual
Prefix:
First Name:ASLAM
Middle Name:
Last Name:SAMAR
Suffix:
Gender:M
Credentials:LSA
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Mailing Address - Street 1:12123 SONORA CANYON LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-6164
Mailing Address - Country:US
Mailing Address - Phone:713-983-8686
Mailing Address - Fax:713-983-0616
Practice Address - Street 1:12123 SONORA CANYON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-6164
Practice Address - Country:US
Practice Address - Phone:713-983-8686
Practice Address - Fax:713-983-0616
Is Sole Proprietor?:No
Enumeration Date:2007-01-06
Last Update Date:2021-01-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1034318OtherBLUELINK