Individual
CLARA ILIANA SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8345 LONG POINT RD, HOUSTON, TX 77055-2022
(713) 973-0812
(713) 973-6710
Mailing address
24826 BLANE DR, KATY, TX 77493-2713
(832) 741-9447
(832) 437-1776
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA04875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA LICENSE
PA04875
TX
Enumeration date
08/05/2006
Last updated
01/11/2010
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