Individual
ESTEBAN RICARDO SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3529 DENTON HWY STE D, HALTOM CITY, TX 76117-3293
(817) 759-0707
(817) 759-0828
Mailing address
2234 ALTA CANADA LN, FORT WORTH, TX 76177-8237
(817) 492-9383
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1092033
TX
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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