| Samuel T Gardner Iii, MD | |
|
12141 Richmond Ave, Houston, TX 77082-2408 | |
| (281) 799-8600 | |
| (281) 596-5947 |
| Full Name | Samuel T Gardner Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 12141 Richmond Ave, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801871538 | NPI | - | NPPES |
| 153992601 | Medicaid | TX | |
| 8G4159 | Other | TX | BCBSTX PROV NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | L4386 (Texas) | Primary |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel T Gardner Iii, MD Po Box 200993, Houston, TX 77216-0993 Ph: (281) 784-1111 | Samuel T Gardner Iii, MD 12141 Richmond Ave, Houston, TX 77082-2408 Ph: (281) 799-8600 |
Dr. Taketo Baba, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6621 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Aisha C Haynie, MD, MPA Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2223 West Loop S, Houston, TX 77027 Phone: 713-439-6913 | |
Hashim Zaidi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6411 Fannin St, Houston, TX 77030 Phone: 713-500-7878 | |
Dr. Miguel A Nieto, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Emergency Center, Houston, TX 77030 Phone: 713-873-7045 | |
Dr. Louis Bruno Fornage, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-3060 Fax: 713-873-2325 | |
Amy Rossi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St, Jjl 431, Houston, TX 77030 Phone: 713-500-7882 | |
Dr. Kyle Suen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 832-355-4292 |