Individual
DESTINEE RENEE SALAZAR-EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4521 NEWPORT DR, THE COLONY, TX 75056-4039
(972) 249-7902
Mailing address
4521 NEWPORT DR, THE COLONY, TX 75056-4039
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA19112
TX
363AS0400X
Surgical Physician Assistant
Primary
PA19112
TX
Other
Enumeration date
06/20/2025
Last updated
09/04/2025
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