Individual
ANGELICA MARIA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
101 CROWN POINTE BLVD STE 200, WILLOW PARK, TX 76087-1293
(817) 599-7661
Mailing address
101 CROWN POINTE BLVD STE 200, WILLOW PARK, TX 76087-1293
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319649501
—
TX
01
—
8N0424
BCBSTX
TX
Enumeration date
08/19/2010
Last updated
01/11/2021
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