MEDICARE: DR. ROBERT ANG SALAZAR MD

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	207RP1001X	Pulmonary Disease Physician	K2276	TX

General Provider Information

NPI Number	:	1508800251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ANG SALAZAR MD

Provider Business Mailing Address
First Line	:	19255 PARK ROW STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7310
Country	:	US
Telephone Number	:	281-492-0363
Fax Number	:	281-492-0326

Provider Business Practice Location Address
First Line	:	19255 PARK ROW STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7310
Country	:	US
Telephone Number	:	281-492-0363
Fax Number	:	281-492-0326

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	09/23/2021

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