Provider Demographics
NPI:1962598805
Name:FINN, SHLOMO SAM (MD)
Entity type:Individual
Prefix:
First Name:SHLOMO
Middle Name:SAM
Last Name:FINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:S
Other - Middle Name:SAM
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3600 GASTON AVENUE
Mailing Address - Street 2:SUITE 856 WADLEY TOWER
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1908
Mailing Address - Country:US
Mailing Address - Phone:214-823-2161
Mailing Address - Fax:214-823-1632
Practice Address - Street 1:3600 GASTON AVENUE
Practice Address - Street 2:SUITE 856 WADLEY TOWER
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1908
Practice Address - Country:US
Practice Address - Phone:214-823-2161
Practice Address - Fax:214-823-1632
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH1079207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX87Z571OtherBLUE CROSS BLUE SHIELD
TXB95584Medicare UPIN
TX87Z571Medicare ID - Type UnspecifiedMEDICARE