Individual ProviderGrace SlaterPediatricsAllopathic & Osteopathic PhysiciansPractice Address1935 Medical District Dr, Dallas, TX 75235-7701(214) 456-6393PECOS EnrollmentBased on the most recent information from CMS, provider Grace Slater is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:37 AM.Profile DetailsProvider ID1942662994Provider TypeIndividualFull NameSlater, GraceGenderFemaleSole ProprietorNoEnumeration Date3/28/2016Last Updated2/9/2024Contact InformationPractice LocationPractice Address1935 Medical District Dr, Dallas, TX 75235-7701Phone(214) 456-6393FaxUnlisted FaxMailing LocationMailing Address1935 Medical District Dr, Dallas, TX 75235-7701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseT7739TexasCode2080H0002XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseT7739Texas