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Individual

JOHN EARL SLAUGHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
3815 OAKWILDE CIR, LA PORTE, TX 77571-4496
(281) 412-0900
(281) 317-8990
Mailing address
3815 OAKWILDE CIR, LA PORTE, TX 77571-4496
(281) 412-0900
(281) 317-8990

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
6779
TX
111NR0200X
Radiology Chiropractor
6779
TX
111NX0100X
Occupational Health Chiropractor
6779
TX
363L00000X
Nurse Practitioner
Primary
776723
TX
363LF0000X
Family Nurse Practitioner
776723
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8AR810
BCBS
01
8BL830
BCBS
TX
01
8P5800
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/05/2005
Last updated
02/12/2016
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