Most Relevant Information
Provider Data
| NPI Number: | 1003477019 |
| Provider Name: | SAMANTHA MARIE HERMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 908296 |
Most Important Dates
| Enumeration Date: | 06/21/2019 |
| Last Updated: | 06/03/2020 |
Provider Practice Location
22710 PROFESSIONAL DR STE 203
KINGWOOD
TX
773396009
Practice Location Phone/Fax
| Phone: | 2813128530 |
| Fax: | 2817195916 |
Provider Mailing Location
22710 PROFESSIONAL DR STE 102
KINGWOOD
TX
773396009
Provider Mailing Phone/Fax
| Phone: | 2813128530 |
| Fax: | 2817195916 |