Provider Demographics
NPI:1548621378
Name:SAMSON, DOROTHY (RPH)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:
Last Name:SAMSON
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6121 HILLCROFT ST STE J
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1007
Mailing Address - Country:US
Mailing Address - Phone:832-968-4211
Mailing Address - Fax:832-968-4376
Practice Address - Street 1:6121 HILLCROFT ST STE J
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1007
Practice Address - Country:US
Practice Address - Phone:183-296-8421
Practice Address - Fax:832-968-4376
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2018-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32884183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist