Provider Demographics
NPI:1649232976
Name:SLAYTON, JAMES LEONARD JR (DO)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:LEONARD
Last Name:SLAYTON
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:85 IH 10 N
Mailing Address - Street 2:REGENTS PARK 1 BLDG. SUITE 112
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77707-2538
Mailing Address - Country:US
Mailing Address - Phone:409-239-5139
Mailing Address - Fax:409-347-8856
Practice Address - Street 1:85 IH 10 N
Practice Address - Street 2:REGENTS PARK 1 BLDG. SUITE 112
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77707-2538
Practice Address - Country:US
Practice Address - Phone:409-239-5139
Practice Address - Fax:409-347-8856
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2017-05-12
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Provider Licenses
StateLicense IDTaxonomies
TXK9471207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX145273204Medicaid
TX145273204Medicaid
TX401022ZNB2Medicare PIN