Basic Information
| Provider Information | |||||||||
| NPI: | 1528502879 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SLAUGHTER PSYCHIATRIC PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6045 ALMA RD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750702188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728933376 | ||||||||
| FaxNumber: | 4692250632 | ||||||||
| Practice Location | |||||||||
| Address1: | 6045 ALMA RD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750702188 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728933376 | ||||||||
| FaxNumber: | 4692250632 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/06/2016 | ||||||||
| LastUpdateDate: | 12/06/2016 | ||||||||
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| AuthorizedOfficialLastName: | SLAUGHTER | ||||||||
| AuthorizedOfficialFirstName: | LAURA | ||||||||
| AuthorizedOfficialMiddleName: | KELLY | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9728933376 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | K2123 | TX | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.