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NPI Code Detail

MEDICARE: CONCEPCION SALAMANCA

MEDICARE:   CONCEPCION  SALAMANCA
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
13747A0650XAttendant Care Provider

General Provider Information

NPI Number : 1285276741
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONCEPCION SALAMANCA
Provider Business Mailing Address
First Line : 507 LIVE OAK ST.
Second Line :
City : PASADENA
State : TX
Zip : 77506
Country : US
Telephone Number : 346-401-4645
Fax Number :
Provider Business Practice Location Address
First Line : 507 LIVE OAK ST.
Second Line :
City : PASADENA
State : TX
Zip : 77506
Country : US
Telephone Number : 346-401-4645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2019
Last Update Date : 10/16/2019

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Directions to “ CONCEPCION SALAMANCA ” Practice Location

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