Individual
CHARLES MATTESON SLOAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 W 15TH ST, PLANO, TX 75075-7738
(469) 326-0014
(469) 326-0015
Mailing address
P.O. BOX 670367, DALLAS, TX 75367
(469) 458-3872
(469) 458-3895
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G5619
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
G5619
TX
Other
Enumeration date
08/03/2006
Last updated
04/07/2023
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