Provider Demographics
NPI:1497955322
Name:SLOANE, SPENCER A (DC)
Entity Type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:A
Last Name:SLOANE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8108 FOX CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75249-1614
Mailing Address - Country:US
Mailing Address - Phone:214-228-8196
Mailing Address - Fax:844-845-3739
Practice Address - Street 1:8108 FOX CREEK TRL
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75249-1614
Practice Address - Country:US
Practice Address - Phone:214-228-8196
Practice Address - Fax:844-845-3739
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7338111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health