Provider Demographics
NPI:1992806764
Name:SLOAN, EMILY KAY (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:KAY
Last Name:SLOAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1401 S BUCKNER BLVD
Mailing Address - Street 2:#139
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75217-1704
Mailing Address - Country:US
Mailing Address - Phone:469-488-4400
Mailing Address - Fax:469-488-4401
Practice Address - Street 1:1401 S BUCKNER BLVD
Practice Address - Street 2:#139
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75217-1704
Practice Address - Country:US
Practice Address - Phone:469-488-4400
Practice Address - Fax:469-488-4401
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM4550208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM4550OtherTEXAS MEDICAL LICENSE
TX20147728OtherDPS