Individual
DR. JAMES WALLACE SLAUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 E HARRIS AVE, EMERGENCY ROOM, SAN ANGELO, TX 76903-5904
(325) 653-6741
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
J3615
TX
207R00000X
Internal Medicine Physician
J3615
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127626306
—
TX
05
—
127626309
—
TX
01
—
8K7851
BCBS
TX
Enumeration date
09/12/2005
Last updated
05/19/2011
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