MEDICARE: NAFISSATOU SALAMI NP

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	363L00000X	Nurse Practitioner	1214578	TX

General Provider Information

NPI Number	:	1346199072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAFISSATOU SALAMI NP

Provider Business Mailing Address
First Line	:	950 E STATE HIGHWAY 114 STE 200
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-5261
Country	:	US
Telephone Number	:	214-424-2200
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	1600 CENTRAL DR STE 310
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76022-6029
Country	:	US
Telephone Number	:	817-267-8470
Fax Number	:	817-267-0396

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

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	05/11/2026

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