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Organization
ADELITAS MEDICAL-NWH
Active
Organization
ADELITAS MEDICAL-NWH
Active
Other names
Adelitas Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGEL SALAZAR MD (OWNER)
(214) 351-9400
Entity
Organization
Contact information
Practice address
610 E JEFFERSON BLVD, SUITE 110, DALLAS, TX 75203-2750
(214) 351-9400
(214) 222-9114
Mailing address
610 E JEFFERSON BLVD, SUITE 110, DALLAS, TX 75203-2750
(214) 351-9400
(214) 222-9114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M0897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219463101
—
TX
05
—
219463102
—
TX
Enumeration date
09/03/2010
Last updated
07/29/2011
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