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Organization
SHARLET SLOUGH DO
Active
Organization
SHARLET SLOUGH DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARLET SLOUGH D.O. (OWNER)
(903) 617-6239
Entity
Organization
Contact information
Practice address
6115 NEW COPELAND RD STE 240, TYLER, TX 75703
(903) 617-6239
(903) 617-6249
Mailing address
PO BOX 8819, TYLER, TX 75711-8819
(903) 617-6239
(903) 617-6249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055PW
BCBS
TX
05
—
185213901
—
TX
01
—
DG2129
RAILROAD MEDICARE PIN
TX
Enumeration date
09/29/2006
Last updated
07/05/2018
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