Provider Demographics
NPI:1043215429
Name:SLUSHER, NORMAN (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:
Last Name:SLUSHER
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 1:3600 GASTON AVE
Mailing Address - Street 2:STE 964
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1909
Mailing Address - Country:US
Mailing Address - Phone:214-826-7470
Mailing Address - Fax:214-826-1711
Practice Address - Street 1:3600 GASTON AVE
Practice Address - Street 2:STE 964
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1909
Practice Address - Country:US
Practice Address - Phone:214-826-7470
Practice Address - Fax:214-826-1711
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5249207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX069934OtherAETNA PROVIDER #
TX2226517OtherBCBS BLUE LINK #
TX0175980001OtherDMERC PROVIDER #
TXAH25OtherBCBS PROVIDER #
TX0175980001OtherDMERC PROVIDER #
TXAH25Medicare ID - Type Unspecified