SLSP PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L1110 Issued in TX

Legal business name

SLSP PLLC

Practice address

611 W Hwy 6
Suite 108
Waco, TX 76710-7544

Phone

(254) 776-5900

Fax

(254) 776-5921

NPI assigned

Jul 10, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacy Lessman, MD

Title

Owner

Phone

(254) 776-5900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1053676544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W HWY 6",
            "address_2": "SUITE 108",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-776-5900",
            "fax_number": "254-776-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W HWY 6",
            "address_2": "SUITE 108",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-776-5900",
            "fax_number": "254-776-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLSP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "LESSMAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-776-5900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L1110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.