Provider Demographics
NPI:1306281209
Name:SLATER, NATALIE FEY (STUDENT, MD 6/2013)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:FEY
Last Name:SLATER
Suffix:
Gender:F
Credentials:STUDENT, MD 6/2013
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:PAIGE
Other - Last Name:FEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:STUDENT, MD 6/2013
Mailing Address - Street 1:6028 FM 482
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78132-4542
Mailing Address - Country:US
Mailing Address - Phone:830-660-1386
Mailing Address - Fax:
Practice Address - Street 1:6621 FANNIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2303
Practice Address - Country:US
Practice Address - Phone:830-660-1386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program