Provider Demographics
NPI:1700816790
Name:SLUSKY, HARVEY E (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:E
Last Name:SLUSKY
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: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:281-557-4369
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:281-557-4369
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG5620174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4228120OtherAETNA
TX2827510OtherCIGNA
TX41405OtherAMERIGROUP
TX8F5922OtherBLUE CROSS
TX8F5922OtherBLUE CROSS
TXC21899Medicare UPIN
TX8F3170Medicare PIN