Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN DANIEL SLACK
Active Sole ProprietorSTEPHEN DANIEL SLACK is a Contractor healthcare provider located in SHREVEPORT, Louisiana. NPI 1386141539 is currently active in the NPPES registry. Verify at CMS.
Contractor · SHREVEPORT, LA
Registration Details
- NPI Number
- 1386141539
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2018 (8.3102326828901 yrs)
- Last Updated
- Apr 12, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
458 W 61ST STSHREVEPORT, LA, 711062511Browse LA providers · Browse ZIP 71106
- Phone
- 3185101141
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| TINA MARIA ANDERSON | MA | 1053549675 |
| MAXINE FRAZIER | — | 1891103552 |
| TAMBRA TAYLOR | — | 1396333522 |
| LASHAWNDA MONIQUE FISHER | — | 1336891589 |
| KATIE THOMAS | — | 1811646094 |
| AMANDA NORRIS | — | 1629852165 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.