MEDICARE: SWYNDA SALAZAR-BARAJAS D.C.

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	111N00000X	Chiropractor	9768	TX

General Provider Information

NPI Number	:	1053343426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWYNDA SALAZAR-BARAJAS D.C.

Provider Business Mailing Address
First Line	:	510 WAUGH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-2002
Country	:	US
Telephone Number	:	713-522-1726
Fax Number	:	713-522-7163

Provider Business Practice Location Address
First Line	:	510 WAUGH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-2002
Country	:	US
Telephone Number	:	713-522-1726
Fax Number	:	713-522-7163

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	01/22/2009

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