=====================================================
General NPI Number Information
=====================================================
NPI Number | 1801117460
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CURT D SALVADOR LSA
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2010
-----------------------------------------------------
Last Update Date | 01/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7425 WATERS EDGE CT
-----------------------------------------------------
City | THE COLONY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75056-3494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-227-2457
-----------------------------------------------------
Fax | 214-764-0880
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7425 WATERS EDGE CT
-----------------------------------------------------
City | THE COLONY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75056-3494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-855-5555
-----------------------------------------------------
Fax | 972-947-5208
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 246ZC0007X
-----------------------------------------------------
Taxonomy Name | Surgical Assistant
-----------------------------------------------------
License Number | SA00450
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------