Individual
PHILLIP L SLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD, PAV II SUITE 425, DALLAS, TX 75208-2363
(214) 947-3231
(214) 947-3239
Mailing address
221 W COLORADO BLVD, PAV II SUITE 425, DALLAS, TX 75208-2363
(214) 947-3231
(214) 947-3239
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H5066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089503905
—
TX
01
—
8DE006
BLUE CROSS
TX
Enumeration date
08/16/2006
Last updated
06/12/2015
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