Provider Demographics
NPI:1124360763
Name:SLESNICK, MONIKA ELIZABETH STRAND (PA-C)
Entity Type:Individual
Prefix:
First Name:MONIKA
Middle Name:ELIZABETH STRAND
Last Name:SLESNICK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:MONIKA
Other - Middle Name:ELIZABETH
Other - Last Name:STRAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:801 W 38TH ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1167
Mailing Address - Country:US
Mailing Address - Phone:512-306-1323
Mailing Address - Fax:512-306-1142
Practice Address - Street 1:3000 N IH 35 STE 600
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1850
Practice Address - Country:US
Practice Address - Phone:512-306-1323
Practice Address - Fax:512-306-1142
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09933363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355341401Medicaid
TX355341401Medicaid