Healthcare Provider Details

I. General information

NPI: 1124360763
Provider Name (Legal Business Name): MONIKA ELIZABETH STRAND SLESNICK PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONIKA ELIZABETH STRAND PA-C

II. Dates (important events)

Enumeration Date: 03/21/2013
Last Update Date: 01/28/2022
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 N IH 35 STE 600
AUSTIN TX
78705-1850
US

IV. Provider business mailing address

801 W 38TH ST SUITE 400
AUSTIN TX
78705-1167
US

V. Phone/Fax

Practice location:
  • Phone: 512-306-1323
  • Fax: 512-306-1142
Mailing address:
  • Phone: 512-306-1323
  • Fax: 512-306-1142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License NumberPA09933
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: