MEDICARE: SHLOMO SAM FINN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	H1079	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	87Z571	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1962598805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHLOMO SAM FINN M.D.

Provider Business Mailing Address
First Line	:	3600 GASTON AVENUE
Second Line	:	SUITE 856 WADLEY TOWER
City	:	DALLAS
State	:	TX
Zip	:	75246-1908
Country	:	US
Telephone Number	:	214-823-2161
Fax Number	:	214-823-1632

Provider Business Practice Location Address
First Line	:	3600 GASTON AVENUE
Second Line	:	SUITE 856 WADLEY TOWER
City	:	DALLAS
State	:	TX
Zip	:	75246-1908
Country	:	US
Telephone Number	:	214-823-2161
Fax Number	:	214-823-1632

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/09/2007

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