Individual
GRACE SLATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6393
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
T7739
TX
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
T7739
TX
Other
Enumeration date
03/28/2016
Last updated
02/09/2024
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