Organization Name: | SLAINTE INC. |
NPI Number: | 1558755611 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN R JOHNSTON (OWNER/PRESIDENT) |
Mailing Address: | 250 Blossom St Ste 310 Webster |
State: | TX US |
Postal Code: | 775984204 |
Phone Number: | 2817240198 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2015 |
NPI Last Update Date: | 03/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H5457 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |