Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 5361TG | TX |
NPI | 1013077163 |
---|---|
Provider Name | Dr. Nadia Sledge |
First Address | Houston, TX 77043-4515 |
Second Address | Houston, TX 77056-5610 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 14/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
038428101 | (05) | TX |
18513 | DAVIS-EYEMED (01) | TX |
203340247 | SUPERIOR (01) | TX |
MI351863 | CLARITY (01) | TX |
PEARLEGALLERIA | OPTICARE (01) | TX |
TX5361 | EYEMED (01) | TX |