Individual
EBERHARD ROY SAMLOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17218 PRESTON RD STE 2000, DALLAS, TX 75252-4018
(877) 866-7123
(817) 202-8354
Mailing address
PO BOX 742712, ATLANTA, GA 30374-2712
(877) 866-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1380
TX
208600000X
Surgery Physician
J1380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105715002
—
TX
05
—
105715004
—
TX
Enumeration date
06/27/2005
Last updated
06/28/2023
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