Slayton William Ebeling (NPI# 1629459862, PAC ID# 5698080554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1629459862 |
| PAC ID by PECOS | 5698080554 |
| Professional Enrollment ID | I20150820012241 |
| Full Name | Slayton William Ebeling |
| Organization Legal Name | T. JEFF RUSSELL, M.D., P.A |
| Address |
3535 Travis St Suite 170 Dallas TX 75204-1480 |
| Phone Number | 2145222661 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 4486618543 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3535 Travis St, Suite 170, Dallas, TX 75204-1480 | 2145222661 | T. JEFF RUSSELL, M.D., P.A |
| Organization Legal Name | T. JEFF RUSSELL, M.D., P.A |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather H Winslow | Ophthalmology | T. Jeff Russell, M.d., P.a | 3535 Travis St, Suite 170, Dallas, TX 75204-1480 |
| Thomas Jeff Russell | Ophthalmology | T. Jeff Russell, M.d., P.a | 3535 Travis St, Suite 170, Dallas, TX 75204-1480 |
| Craig A Bolton | Ophthalmology | T. Jeff Russell, M.d., P.a | 3535 Travis St, Dallas, TX 75204-1480 |
| Street Address |
3535 TRAVIS ST SUITE 170 |
| City | DALLAS |
| State | TX |
| Zip | 75204-1480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tim William Wrenholt | Physical Therapy | Southwest Sports and Spine V, LLP | 3535 Travis St, Suite 160, Dallas, TX 75204-1428 |
| Heather H Winslow | Ophthalmology | T. Jeff Russell, M.d., P.a | 3535 Travis St, Suite 170, Dallas, TX 75204-1480 |
| Thomas Jeff Russell | Ophthalmology | T. Jeff Russell, M.d., P.a | 3535 Travis St, Suite 170, Dallas, TX 75204-1480 |
| Megan E Mccormick | Physical Therapy | Southwest Sports and Spine V, LLP | 3535 Travis St, Suite 160, Dallas, TX 75204-1428 |
| Mark W Moore | Physical Therapy | Southwest Sports and Spine V, LLP | 3535 Travis St, Suite 160, Dallas, TX 75204-1428 |
| Craig A Bolton | Ophthalmology | T. Jeff Russell, M.d., P.a | 3535 Travis St, Dallas, TX 75204-1480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Sessions | Anesthesiology | Metropolitan Anesthesia Consultants, LLP | 3515 Howell St, Dallas, TX 75204 |
| Angel Laamber Adams | Nurse Practitioner | 2626 Cole Ave, Suite 300, Dallas, TX 75204-1094 | |
| Amanvir K Dhanoa | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Alexandria C Seifer | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Linda M Stevenson | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Pat T Nguyen | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Gwendoline K Mbaku | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 3133 E Lemmon Ave, Dallas, TX 75204-1411 |
| Tyler Zellers | Optometry | 3636 Mckinney Ave, Dallas, TX 75204-1443 | |
| George E Orm Iii | Optometry | Optique Inc | 3636 Mckinney Ave, Dallas, TX 75204-1443 |
| Alma C Garcia | Clinical Social Worker | Legacy Counseling Center Inc | 4054 Mckinney Ave, Suite 102, Dallas, TX 75204-2050 |
| Find all physicians in zip 75204 | |||
| City | DALLAS |
| Zip Code | 75204 |
| Specialty | OPTOMETRY |
| City + Specialty | DALLAS + OPTOMETRY |
Please comment or provide details below to improve the information on Slayton William Ebeling.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.