Healthcare Provider Details

I. General information

NPI: 1306718267
Provider Name (Legal Business Name): MATTHEW ELIJAH SALAZAR RCP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2025
Last Update Date: 09/20/2025
Certification Date: 09/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7930 FLOYD CURL DR
SAN ANTONIO TX
78229-3925
US

IV. Provider business mailing address

2802 ZURICH
SAN ANTONIO TX
78230-2882
US

V. Phone/Fax

Practice location:
  • Phone: 210-297-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License NumberRCP02007813
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: