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NPI Code Detail

MEDICARE: JORGE D. SALAZAR M.D.

MEDICARE: JORGE D. SALAZAR M.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
1208600000XSurgery PhysicianM3080TX
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician21010MS
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianM3080TX

General Provider Information

NPI Number : 1659380970
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE D. SALAZAR M.D.
Provider Business Mailing Address
First Line : 6431 FANNIN ST MSB 6.264
Second Line :
City : HOUSTON
State : TX
Zip : 77030
Country : US
Telephone Number : 713-500-7339
Fax Number :
Provider Business Practice Location Address
First Line : 6410 FANNIN ST STE 370
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3004
Country : US
Telephone Number : 713-500-7339
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 06/28/2023

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