MEDICARE: SAUL ALEXIS SALAZAR CHW

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	172V00000X	Community Health Worker	CHW1-6517	NV

General Provider Information

NPI Number	:	1144156712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAUL ALEXIS SALAZAR CHW

Provider Business Mailing Address
First Line	:	4730 S FORT APACHE
Second Line	:	SUITE 180
City	:	LAS VEGAS
State	:	NV
Zip	:	89147
Country	:	US
Telephone Number	:	702-731-0909
Fax Number	:	725-205-8304

Provider Business Practice Location Address
First Line	:	400 SHAWDOW LANE
Second Line	:	SUITE 104
City	:	LAS VEGAS
State	:	NV
Zip	:	89106
Country	:	US
Telephone Number	:	702-731-0909
Fax Number	:	702-826-4757

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

Provider Enumeration Date	:	06/22/2026
Last Update Date	:	06/22/2026

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Directions to “ SAUL ALEXIS SALAZAR CHW” Practice Location

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