Provider Demographics
NPI:1871739532
Name:SLAUGHTER, LAURA KELLY (MD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:KELLY
Last Name:SLAUGHTER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1820 PRESTON PARK BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3656
Mailing Address - Country:US
Mailing Address - Phone:972-893-3376
Mailing Address - Fax:214-548-5429
Practice Address - Street 1:6045 ALMA RD
Practice Address - Street 2:SUITE 310
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-2188
Practice Address - Country:US
Practice Address - Phone:972-893-3376
Practice Address - Fax:469-225-0632
Is Sole Proprietor?:No
Enumeration Date:2008-12-31
Last Update Date:2020-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK21232084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG98506Medicare UPIN