MEDICARE: DANIEL SALIM

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	10278	TX

General Provider Information

NPI Number	:	1699980458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL SALIM

Provider Business Mailing Address
First Line	:	1901 MEDI PARK DR STE 1068
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-2108
Country	:	US
Telephone Number	:	806-322-2020
Fax Number	:	806-322-2021

Provider Business Practice Location Address
First Line	:	1901 MEDI PARK DR STE 1068
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-2108
Country	:	US
Telephone Number	:	806-322-2020
Fax Number	:	806-322-2021

Authorized Official
Title or Position	:	DOCTOR OF CHIROPRACTIC
Name	:	DR. DANIEL SALIM
Credential	:	D.C.
Telephone Number	:	806-322-2020

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/22/2020

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