Samlowski, Eberhard Roy
Samlowski, Eberhard Roy is an sole proprietor health care provider with primary practice located at 17218 Preston Rd Ste 2000 , Dallas TX 75252-4018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Samlowski, Eberhard Roy can be contacted via phone (877) 866-7123.Contact Information
Primary practice address
17218 Preston Rd Ste 2000
Dallas TX 75252-4018
Phone: (877) 866-7123
Fax: (817) 202-8354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | J1380 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J1380 | Texas |
Profile Details
| NPI number | 1679579312 |
|---|---|
| LBN Legal business name | Samlowski, Eberhard Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Jun 28th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679579312 | NPPES |
| Texas | MEDICAID | 105715002 | |
| Texas | MEDICAID | 105715004 |
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