| Samuel J Listi & Margaret A Sowada | |
|
5909 Harry Hines Blvd St Paul University Hospital Dallas TX 75235-6209 | |
| (972) 247-8391 | |
| Not Available |
| Full Name | Samuel J Listi & Margaret A Sowada |
|---|---|
| Speciality | Internal Medicine |
| Location | 5909 Harry Hines Blvd, Dallas, Texas |
| Authorized Official Name and Position | Margaret Aileen Sowada (GENERAL PARTNER) |
| Authorized Official Contact | 9722478391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel J Listi & Margaret A Sowada 4212 High Summit Dr Dallas TX 75244-6628 Ph: (972) 247-8391 | Samuel J Listi & Margaret A Sowada 5909 Harry Hines Blvd St Paul University Hospital Dallas TX 75235-6209 Ph: (972) 247-8391 |
| NPI Number | 1417071903 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8820195167 |
|---|---|
| Medicare Enrollment ID | O20070521000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417071903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samuel J Listi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225033244 PECOS PAC ID: 7810094158 Enrollment ID: I20100722000909 |
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