Individual
DR. CYNTHIA BULLARD SLATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1313 N FRY RD STE A, KATY, TX 77449-3343
(281) 579-6939
(281) 579-2714
Mailing address
123 SIBELIUS LN, HOUSTON, TX 77079-7203
(713) 973-6233
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4709T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03855
SPECTERA
TX
01
—
18004510287
BLUE CROSS BLUE SHIELD
TX
01
—
52719
DAVIS
TX
01
—
550768
NVA
TX
Enumeration date
03/26/2007
Last updated
07/08/2007
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