Individual
ERIC MICHAEL SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2088
(214) 820-0111
Mailing address
6233 E UNIVERSITY BLVD, DALLAS, TX 75214-2139
(469) 855-1230
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
V7058
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2021
Last updated
05/18/2025
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