Individual
DR. DAVID M SLIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 222-2377
Mailing address
1617 HEMPHILL ST, FORT WORTH, TX 76104-4709
(817) 852-8450
(817) 927-3603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K6332
TX
207RI0011X
Interventional Cardiology Physician
K6332
TX
207UN0901X
Nuclear Cardiology Physician
K6332
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044502502
—
TX
05
—
044502507
—
TX
01
—
8X9568
BCBS OF TEXAS
TX
01
—
P00658233
RAILROAD MEDICARE
—
Enumeration date
05/04/2006
Last updated
06/27/2016
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