Provider Demographics
NPI:1174815880
Name:SLOCUM, PAUL DOUGLAS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DOUGLAS
Last Name:SLOCUM
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:12201 MERIT DR STE 450
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-2213
Mailing Address - Country:US
Mailing Address - Phone:972-532-3024
Mailing Address - Fax:972-532-3189
Practice Address - Street 1:12201 MERIT DR STE 450
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2213
Practice Address - Country:US
Practice Address - Phone:972-532-3024
Practice Address - Fax:972-532-3189
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2019-08-20
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Provider Licenses
StateLicense IDTaxonomies
TXP6089207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology