Slauson, James Wallace
Slauson, James Wallace is an individual health care provider with primary practice located at 120 E Harris Ave Emergency Room, San Angelo TX 76903-5904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Slauson, James Wallace can be contacted via phone (325) 653-6741.Contact Information
Primary practice address
120 E Harris Ave Emergency Room
San Angelo TX 76903-5904
Phone: (325) 653-6741
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | J3615 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | J3615 | Texas |
Profile Details
| NPI number | 1124013560 |
|---|---|
| LBN Legal business name | Slauson, James Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | May 19th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124013560 | NPPES |
| Texas | Other | 8K7851 | BCBS |
| Texas | MEDICAID | 127626306 | BCBS |
| Texas | MEDICAID | 127626309 | BCBS |
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