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Individual

MICHAEL M SLAUGHTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1216 CHURCH ST, SULPHUR SPRINGS, TX 75482-2108
(903) 885-2820
(903) 885-2989
Mailing address
2514 LARCHMONT DR, MESQUITE, TX 75150-5230
(214) 558-1104
(972) 216-1535

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
687662
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F0179018
DPS
TX
Enumeration date
08/18/2010
Last updated
03/07/2023
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