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NPI Code Detail

MEDICARE: VICTORIA JANE SLOWINSKI PA-C

MEDICARE: VICTORIA JANE SLOWINSKI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA13907TX

General Provider Information

NPI Number : 1295333532
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA JANE SLOWINSKI PA-C
Provider Business Mailing Address
First Line : 1300 W TERRELL AVE STE 400
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2829
Country : US
Telephone Number : 817-250-7247
Fax Number :
Provider Business Practice Location Address
First Line : 1300 W TERRELL AVE STE 400
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-2829
Country : US
Telephone Number : 817-250-7247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2020
Last Update Date : 02/11/2022

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Directions to “ VICTORIA JANE SLOWINSKI PA-C” Practice Location

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