Theodore L. Slade, MD

Neurological Surgery Physician · Longview, TX

Individual Active NPI

NPI number 1447249552

Practice location

701 E Marshall Ave
Suite 410
Longview, TX 75601-5659
Phone
(903) 236-4115
Fax
(903) 753-9748

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NPI record

NPI
1447249552
Entity type
Individual (Type 1)
Enumeration date
October 20, 2005
Last updated
June 19, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Neurological Surgery Physician Primary 207T00000X E6175 TX

Mailing address

PO Box 731218
Dallas, TX 75373-1218
Phone
(903) 236-4115
Fax
(903) 753-9748

About Dr. Slade

Theodore L. Slade, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Neurological Surgery Physician (code 207T00000X). The practice location is 701 E Marshall Ave, Suite 410, Longview, TX 75601-5659. The NPI number 1447249552 was assigned on October 20, 2005 and the record was last updated on June 19, 2013.

Dr. Slade lists a license in the registry: #E6175 (TX) for Neurological Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Theodore L. Slade, MD?

The NPI number is 1447249552.

What is the phone number of Dr. Slade?

The phone number listed for the practice location is (903) 236-4115.

Where is Dr. Slade located?

701 E Marshall Ave, Suite 410, Longview, TX 75601-5659.

What is the taxonomy code for Dr. Slade?

The primary taxonomy code is 207T00000X – Neurological Surgery Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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