Provider Demographics
NPI:1467657080
Name:HARVEY E. SLUSKY MD PA
Entity Type:Organization
Organization Name:HARVEY E. SLUSKY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SLUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-338-2098
Mailing Address - Street 1:PO BOX 57849
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7849
Mailing Address - Country:US
Mailing Address - Phone:281-338-2098
Mailing Address - Fax:
Practice Address - Street 1:17500 HIGHWAY 3
Practice Address - Street 2:SUITE B
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4124
Practice Address - Country:US
Practice Address - Phone:281-338-2098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5620174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty