Individual
MS. JAN SLOVACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
3128 S HIGHWAY 35, ALVIN, TX 77511-4737
(281) 886-8964
Mailing address
2600 FM 1764 RD STE 190, LA MARQUE, TX 77568-2826
(281) 886-8964
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
629732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164538427
TRICARE SOUTH
TX
05
—
188121102
—
TX
05
—
188121103
—
TX
05
—
188121104
—
TX
05
—
188121105
—
TX
01
—
8Y9999
BCBSTX
TX
Enumeration date
08/21/2006
Last updated
03/17/2018
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