Provider Demographics
NPI:1861711186
Name:PATTON, SAMUEL ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ROSS
Last Name:PATTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4191 BELLAIRE BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1003
Mailing Address - Country:US
Mailing Address - Phone:713-795-5343
Mailing Address - Fax:713-795-4851
Practice Address - Street 1:4191 BELLAIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1003
Practice Address - Country:US
Practice Address - Phone:713-795-5343
Practice Address - Fax:713-795-4851
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-26
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP1-0037971207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology