Individual
DR. EVGENIA GENOVA SLAVCHEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4009
(512) 901-3992
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4009
(512) 901-3992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M5510
TX
207R00000X
Internal Medicine Physician
Primary
M5510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0798795-01
—
TX
05
—
192306202
—
TX
01
—
P00232628
RR MEDICARE
—
Enumeration date
05/24/2006
Last updated
10/29/2010
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