DR. Theodore L Slade, MD

NPI #1447249552 in Longview, Texas

Provider Information

NPI Number: 1447249552
Entity Type: Individual
Name: DR. Theodore L Slade, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Neurological Surgery
Credential: MD
Enumeration Date: Oct 20, 2005
Last Updated: Jun 19, 2013

Practice Location

Address: 701 E MARSHALL AVE
Address 2: SUITE 410
City: Longview
State: Texas
ZIP Code: 75601-5659
Phone: (903) 236-4115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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