# ADELITAS MEDICAL-NWH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adelitas Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912214446
- **Authorized official:** DR. ANGEL SALAZAR MD (OWNER)
- **Authorized official phone:** (214) 351-9400

## Contact information

- **Practice address:** 610 E JEFFERSON BLVD, SUITE 110, DALLAS, TX 75203-2750
- **Practice address phone:** (214) 351-9400
- **Practice address fax:** (214) 222-9114
- **Mailing address:** 610 E JEFFERSON BLVD, SUITE 110, DALLAS, TX 75203-2750
- **Mailing address phone:** (214) 351-9400
- **Mailing address fax:** (214) 222-9114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | M0897 | TX | Yes |

## Other

- **Enumeration date:** 09/03/2010
- **Last updated:** 07/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 219463101 | — | TX |
| 05 | — | 219463102 | — | TX |