CHARLES THORNTON SLACK


Address: 1105 Central Expy North, Suite 370, Allen, TX 75013
Phone: 2144956464

CHARLES THORNTON SLACK (NPI# 1720038151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720038151
Entity Type Individual
Full Name CHARLES THORNTON SLACK
Credential M.D.
Practice Address 1105 Central Expy North
Suite 370
Allen
TX 75013
Mailing Address 1405 Pecan Hollow Trl
Mckinney
TX 75070-9061
Practice Telephone 2144956464
Practice Fax Number 2145090273
Mailing Telephone 9725627253
Mailing Fax Number 2145090273
Enumeration Date 2006-05-10
Last Update Date 2013-04-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208200000X Plastic Surgery J0267 TX Allopathic & Osteopathic Physicians

Other Providers CHARLES SLACK

NPI Name Taxonomy Address Enumeration
1558316893 Charles Slack Orthopaedic Surgery 150 N Michigan Ave, Suite 1400, Chicago, IL 60601-7553 2006-05-24

Office Location

Street Address 1105 CENTRAL EXPY NORTH
SUITE 370
City ALLEN
State TX
Zip Code 75013

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1366059230 Alla Al-habib Md Pllc Psychiatry & Neurology 981 Sh 121, Suite 3100, Allen, TX 75013 2020-09-25
1457968430 Park Ventura Endoscopy Center, LLC Clinic/Center 981 State Highway 121, Suite 2100, Allen, TX 75013 2020-09-24
1689288342 Nortex Medical Group General Practice 981 State Highway 121 Ste 4150, Allen, TX 75013 2020-09-01
1417569807 Navaneetha Brindha Natchimuthu Dds, Pllc Dentist 880 W Exchange Parkway, Building A, Suite 140, Allen, TX 75013 2020-08-18
1225647423 Fivestar Pulmonary Associates Pllc Internal Medicine 981 State Hwy 121, Ste 3100, Allen, TX 75013 2020-07-24
1497363741 Pharmestate LLC Pharmacy 317 Central Expressway North, Allen, TX 75013 2020-07-22
1265063002 Paul-douglas Walters Clinic/Center 1101 Raintee Circle, Suite 130, Allen, TX 75013 2020-01-30
1043840069 Thrive Dental Allen Pllc Dentist 1010 W Exchange Pkwy, #130, Allen, TX 75013 2020-01-17
1023578952 Keri Owens In Home Supportive Care 1823 Valencia Drive, Allen, TX 75013 2019-03-25
1639636939 The Children's Dentist of Allen Dentist 261 W. Exchange Pkwy., Allen, TX 75013 2019-02-23
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Taxonomy Information

Taxonomy Code 208200000X
Grouping Allopathic & Osteopathic Physicians
Classification Plastic Surgery

Taxonomy Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467059063 Joseph Peter Corkum Plastic Surgery 1400 Pressler St Unit 1488, Houston, TX 77030-3722 2020-10-06
1780212829 Kendall R Roehl Md Pllc Plastic Surgery 450 W Medical Center Blvd Ste 202, Webster, TX 77598-4229 2020-04-01
1275184871 Dallas Premier Plastic Surgery, P.l.l.c. Plastic Surgery 8144 Walnut Hill Ln Ste 901, Dallas, TX 75231-4386 2019-09-25
1447802798 Michael Ciaravino, Md Pa Plastic Surgery 3700 Buffalo Speedway Ste 850, Houston, TX 77098-3705 2019-07-16
1437617255 Westlake Dermatology, Pa Plastic Surgery 2132 Bissonnet St, Houston, TX 77005-1508 2019-03-11
1528530326 Peter George Dziewulski Plastic Surgery Utmb 301 University Boulevard 6.146 John Sealy Annex, Galveston, TX 77555-0001 2018-12-19
1225504491 Beleza Surgery Center LLC Plastic Surgery 9899 Towne Lake Pkwy Ste 200, Cypress, TX 77433-6838 2018-10-15
1104311901 Zeynep Deniz Akdeniz Dogan Plastic Surgery 1400 Pressler St The University of Texas Md Anderson Ca, Unit 1488, Houston, TX 77030 2018-06-25
1730604992 Sarah A Frommer Medical Pllc Plastic Surgery 11412 Bee Caves Rd Ste 300, Austin, TX 78738-5515 2017-08-09
1992220180 Johnny U. Franco, Md, Pa Plastic Surgery 3445 Executive Center Dr Ste 213, Austin, TX 78731-1743 2017-08-08
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Competitor

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City ALLEN
Zip Code 75013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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