Individual provider · Type 1 NPI

Theodore L. Slade, MD

Neurological Surgery Physician · Longview, TX

NPI number 1447249552 Active

Practice location

701 E Marshall Ave, Suite 410
Longview, TX 75601-5659

Call (903) 236-4115 Map

Fax (903) 753-9748

Mailing address

PO Box 731218
Dallas, TX 75373-1218

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XE6175 (TX)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1447249552

Theodore L. Slade, MD's National Provider Identifier is 1447249552, issued on Oct 20, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Longview, TX. The record was last updated on Jun 19, 2013.