Organization
SCOTT L SLEDGE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L SLEDGE M.D. (PHYSICIAN)
(210) 494-9600
Entity
Organization
Contact information
Practice address
155 E SONTERRA BLVD, SUITE 211, SAN ANTONIO, TX 78258-3987
(210) 494-9600
(210) 494-9601
Mailing address
155 E SONTERRA BLVD, SUITE 211, SAN ANTONIO, TX 78258-3987
(210) 494-9600
(210) 494-9601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H0821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110415003
—
TX
Enumeration date
10/04/2007
Last updated
12/28/2009
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