Provider Demographics
NPI:1740283738
Name:SLOMOWITZ, ALAN A (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:A
Last Name:SLOMOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4610 BOBBITT DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-4241
Mailing Address - Country:US
Mailing Address - Phone:972-754-1986
Mailing Address - Fax:888-789-6534
Practice Address - Street 1:4610 BOBBITT DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-4241
Practice Address - Country:US
Practice Address - Phone:972-754-1986
Practice Address - Fax:888-789-6534
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2014-02-03
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
TXE69202085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L8337Medicare PIN
TX00N02JMedicare PIN
TX88R756Medicare PIN