Organization
RAFAEL SALAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ELENA SALAS (BUSINESS MANAGER)
(813) 766-2017
Entity
Organization
Contact information
Practice address
1055 CLARKSVILLE ST, SUITE 170, PARIS, TX 75460-6097
(903) 739-7830
(903) 739-7833
Mailing address
1140 LEVI, PARIS, TX 75462-2059
(813) 766-2017
(813) 933-9585
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME0047202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099NS
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/13/2006
Last updated
02/27/2008
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