OrganizationActive
David L. Samuel, M.D. a Proffessional Medical Corporation
NPI 1497041008 · Medical Specialty Clinic/Center · Mandeville, LA
Provider details
- NPI number
- 1497041008
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- David Samuel, M.D.
- License
- 10711R (LA)
Practice location
233 Saint Ann Dr
Suite 3
Mandeville, LA 70471-3395
Phone: (985) 624-6650
Fax: (985) 674-3634
Mailing address
233 Saint Ann Dr
Mandeville, LA 70471-3395
Registry dates
- Enumerated
- 2011-06-22
- Last updated
- 2011-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.