MEDICARE: DR. MARGARET AILEEN SOWADA MD

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	207R00000X	Internal Medicine Physician	G0153	TX

General Provider Information

NPI Number	:	1740394287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARGARET AILEEN SOWADA MD

Provider Business Mailing Address
First Line	:	4212 HIGH SUMMIT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-6628
Country	:	US
Telephone Number	:	972-247-8391
Fax Number	:

Provider Business Practice Location Address
First Line	:	4212 HIGH SUMMIT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-6628
Country	:	US
Telephone Number	:	972-247-8391
Fax Number	:

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/08/2007

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