Provider Demographics
NPI:1861559213
Name:OUAIS, SAMIR (MD)
Entity type:Individual
Prefix:MR
First Name:SAMIR
Middle Name:
Last Name:OUAIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1816
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77328
Mailing Address - Country:US
Mailing Address - Phone:281-592-8088
Mailing Address - Fax:713-653-1646
Practice Address - Street 1:203 N COLLEGE ST
Practice Address - Street 2:#1001
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327
Practice Address - Country:US
Practice Address - Phone:281-592-8088
Practice Address - Fax:713-653-1646
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH3277207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8500K0Medicare ID - Type Unspecified
H15775Medicare UPIN