Individual
MR. JOSE LUIS SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 S BRIDGE AVE, WESLACO, TX 78596-7906
(956) 968-2121
Mailing address
23109 WILCOX RD, HARLINGEN, TX 78552-1941
(956) 343-7810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215861
TX
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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