Individual
ROBERT J SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4144 N CENTRAL EXPY, #360, DALLAS, TX 75204-3140
(214) 252-3511
Mailing address
4144 N CENTRAL EXPY, #360, DALLAS, TX 75204-3140
(214) 252-3511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D8423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122564104
—
TX
05
—
122564105
—
TX
01
—
122564106
MEDICAID CSHCN
TX
01
—
8A1509
BCBS
TX
01
—
P00957309
RAILROAD MEDICARE
TX
Enumeration date
06/15/2005
Last updated
12/17/2014
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