MEDICARE: ALESSANDRA MARGAIN-SALAZAR O.D.

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	152W00000X	Optometrist	7904T	TX

General Provider Information

NPI Number	:	1467850164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESSANDRA MARGAIN-SALAZAR O.D.

Provider Business Mailing Address
First Line	:	1936 SW MILITARY DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78221-1461
Country	:	US
Telephone Number	:	210-924-6527
Fax Number	:

Provider Business Practice Location Address
First Line	:	1720 S W W WHITE ROAD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78220
Country	:	US
Telephone Number	:	210-333-4340
Fax Number	:	210-333-4357

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

Provider Enumeration Date	:	12/11/2014
Last Update Date	:	05/12/2021

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