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Individual

MIGUEL SALAZAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 PARK BEND DR, BLDG 2, STE 300, AUSTIN, TX 78758-5387
(512) 836-5665
Mailing address
5709 WHITEBROOK DR, AUSTIN, TX 78724-3448
(512) 297-8073

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary

Other

Enumeration date
02/15/2013
Last updated
03/26/2013
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