Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | R6482 | TX |
Y | 2080P0216X | Pediatric Rheumatologist | R6482 | TX |
NPI | 1942694054 |
---|---|
Provider Name | Elizabeth Sloan |
First Address | Dallas, TX 75235-7701 |
Second Address | Dallas, TX 75235-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2015 |
Last Update Date | 07/10/2021 |