Provider Demographics
NPI:1215126297
Name:SLAY, DEBBIE (PA-C)
Entity type:Individual
Prefix:MS
First Name:DEBBIE
Middle Name:
Last Name:SLAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 EAST LAMAR BLVD.
Mailing Address - Street 2:SUITE #200
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-3888
Mailing Address - Country:US
Mailing Address - Phone:817-795-7546
Mailing Address - Fax:817-226-7546
Practice Address - Street 1:711 EAST LAMAR BLVD.
Practice Address - Street 2:SUITE #200
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-3888
Practice Address - Country:US
Practice Address - Phone:817-795-7546
Practice Address - Fax:817-226-7546
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04137363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical