NPI 1255968665 · live from the CMS NPI Registry
Samareh Cunningham Azar, MD
Ophthalmology in Tyler, TX. National Provider Identifier 1255968665, active.
NPI record
| NPI | 1255968665 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2440 E 5th St, Tyler, TX 75701 |
| Practice phone | 903-595-0500 |
| Enumerated | March 25, 2020 |
| Last updated | September 4, 2026 |
| Sole proprietor | No |
| Other names | Samareh Dadashazar |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Ophthalmology primary | 207W00000X | U9203 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.