MEDICARE: HAYLEY SLADECEK

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
1	367H00000X	Anesthesiologist Assistant	7897900262	TX

General Provider Information

NPI Number	:	1710718267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAYLEY SLADECEK

Provider Business Mailing Address
First Line	:	PO BOX 844658
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-4658
Country	:	US
Telephone Number	:	254-724-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	19138 US HIGHWAY 281 N
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4988
Country	:	US
Telephone Number	:	254-747-3200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	01/20/2026

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Directions to “ HAYLEY SLADECEK ” Practice Location

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