MEDICARE: DR. ERIC SALAZAR MD, PHD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	BP10044082	TX
2	207ZC0006X	Clinical Pathology Physician	Q5273	TX

General Provider Information

NPI Number	:	1861751133
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC SALAZAR MD, PHD

Provider Business Mailing Address
First Line	:	1230 YORK AVE # 37
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10065-6307
Country	:	US
Telephone Number	:	917-309-1598
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 FANNIN MGJ9-002
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030
Country	:	US
Telephone Number	:	917-309-1598
Fax Number	:

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

Provider Enumeration Date	:	05/08/2012
Last Update Date	:	06/04/2026

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