Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | E5249 | TX |
NPI | 1043215429 |
---|---|
Provider Name | Norman Slusher |
First Address | Dallas, TX 75246-1909 |
Second Address | Dallas, TX 75246-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0175980001 | DMERC PROVIDER # (01) | TX |
069934 | AETNA PROVIDER # (01) | TX |
2226517 | BCBS BLUE LINK # (01) | TX |
AH25 | BCBS PROVIDER # (01) | TX |
B26517 | (02) | TX |