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1063415925

NPI Code Detail

MEDICARE: OSCAR R SALTER MD

MEDICARE: OSCAR R SALTER MD

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	207L00000X	Anesthesiology Physician	0101045309	VA
2	207L00000X	Anesthesiology Physician	N4715	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	068641	OTHER	VA	ANTHEM BC OF VA
2	10071	OTHER	VA	OPTIMA SENTARA
3	0597H	OTHER	NC	BC BS OF NORTH CAROLINA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063415925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR R SALTER MD

Provider Business Mailing Address
First Line	:	PO BOX 840853
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-5832
Country	:	US
Telephone Number	:	972-233-1999
Fax Number	:	972-233-3666

Provider Business Practice Location Address
First Line	:	12222 MERIT DR STE 600
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-3294
Country	:	US
Telephone Number	:	972-715-5000
Fax Number	:	972-715-9976

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

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/11/2022

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Directions to “ OSCAR R SALTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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