Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES THORNTON SLACK, M.D.
Active Sole ProprietorCHARLES THORNTON SLACK, M.D. is a Plastic Surgery healthcare provider located in ALLEN, Texas. NPI 1720038151 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · ALLEN, TX
Registration Details
- NPI Number
- 1720038151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2006 (20.27194375893 yrs)
- Last Updated
- Apr 23, 2013
- License
-
J0267 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1105 CENTRAL EXPY NORTHSUITE 370ALLEN, TX, 75013Browse TX providers · Browse ZIP 75013
- Phone
- 2144956464
- Fax
- 2145090273
- Primary Specialty
-
Plastic Surgery
208200000X
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.