Provider Demographics
NPI:1891977328
Name:ALAN A SLOMOWITZ, MD, PA
Entity Type:Organization
Organization Name:ALAN A SLOMOWITZ, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SLOMOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-548-9690
Mailing Address - Street 1:4201 MEDICAL CENTER DR
Mailing Address - Street 2:STE 180
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1766
Mailing Address - Country:US
Mailing Address - Phone:214-424-3615
Mailing Address - Fax:214-905-7550
Practice Address - Street 1:4201 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 180
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1766
Practice Address - Country:US
Practice Address - Phone:972-548-9690
Practice Address - Fax:214-905-7550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88R756OtherBLUE CROSS OF TEXAS
00N02JMedicare PIN
TX88R756OtherBLUE CROSS OF TEXAS
TX00741TMedicare PIN
B26515Medicare UPIN