Provider Demographics
NPI:1215968995
Name:SLAVIN, DENNIS (MD)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:SLAVIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 E 8TH STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-973-0565
Mailing Address - Fax:956-973-0683
Practice Address - Street 1:910 E 8TH ST STE#1
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5096
Practice Address - Country:US
Practice Address - Phone:956-973-0565
Practice Address - Fax:956-973-0683
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5482208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX050041727OtherMEDICARE RAILROAD
TX123648101Medicaid
TX74-2711223OtherTAX ID
TX74-2711223OtherTAX ID
TXF73599Medicare UPIN