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Individual

MS. CRYSTAL MARIE SALAZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2306 RANCH ROAD 620 S, LAKEWAY, TX 78734-6269
(512) 263-6000
Mailing address
5929 BALCONES DR, STE 200, AUSTIN, TX 78731-4280
(512) 550-1800
(512) 233-5338

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05947
TX
363A00000X
Physician Assistant
TX
363AM0700X
Medical Physician Assistant
PA05947
TX

Other

Enumeration date
10/15/2008
Last updated
11/28/2022
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