Individual
DR. MELISSA SHANNON SLOVAK-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2015 MULBERRY AVE, STE 250, MOUNT PLEASANT, TX 75455-2927
(903) 572-4664
(903) 572-4647
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 212-4763
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
L7890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123717
SUPERIOR HEALTH PLAN
—
05
—
1659385-01
—
TX
01
—
P00174783
RAIL ROAD MEDICARE
—
Enumeration date
09/29/2005
Last updated
08/26/2025
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