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NPI Code Detail

MEDICARE: DR. FERNANDO ANTONIO SALAZAR MD

MEDICARE: DR. FERNANDO ANTONIO 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
1207RG0100XGastroenterology PhysicianL5208TX

General Provider Information

NPI Number : 1710941034
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO ANTONIO SALAZAR MD
Provider Business Mailing Address
First Line : 2100 REGIONAL MEDICAL DR
Second Line :
City : WHARTON
State : TX
Zip : 77488-9719
Country : US
Telephone Number : 979-532-1700
Fax Number : 979-532-6726
Provider Business Practice Location Address
First Line : 2100 REGIONAL MEDICAL DR
Second Line :
City : WHARTON
State : TX
Zip : 77488-9719
Country : US
Telephone Number : 979-532-1700
Fax Number : 979-532-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/08/2007

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Directions to “ DR. FERNANDO ANTONIO SALAZAR MD” Practice Location

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