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1447249552
THEODORE L SLADE
LONGVIEW, TX
NPI
1447249552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: TX E6175)
Enumeration Date
2005-10-20
Last Update Date
2013-06-19
Business Address
Dr. THEODORE L SLADE MD
701 E MARSHALL AVE SUITE 410
LONGVIEW, TX 75601-5659
Phone number: 903-236-4115
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Mailing Address
Dr. THEODORE L SLADE MD
PO BOX 731218
DALLAS, TX 75373-1218
Phone number: 903-236-4115
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