Individual
GRACIE V SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1600 HIGHWAY 287 N, MANSFIELD, TX 76063-8853
(817) 453-5001
Mailing address
1600 HIGHWAY 287 N, MANSFIELD, TX 76063-8853
(817) 453-5001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
589881
TX
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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