Individual
DR. HERBERT BRYAN SLADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
855 MONTGOMERY ST, SUITE 100, FORT WORTH, TX 76107-2553
(817) 735-0349
Mailing address
3909 HULEN ST, FORT WORTH, TX 76107-7253
(817) 302-3919
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
38335
MN
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
CE00003
TX
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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