Individual
SAMUEL R CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8160 WALNUT HILL LN, 007, DALLAS, TX 75231-4339
(214) 345-4733
Mailing address
8160 WALNUT HILL LN, 007, DALLAS, TX 75231-4339
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L8659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0093MT
BCBS
TX
05
—
167976301
—
TX
05
—
167976303
—
TX
Enumeration date
04/17/2006
Last updated
08/18/2020
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