Individual
MAURICIO SALICRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, WIDLEY TOWER #261, DALLAS, TX 75246-1800
(214) 820-3298
Mailing address
3600 GASTON AVE, WIDLEY TOWER #261, DALLAS, TX 75246-1800
(214) 820-3298
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
Q3788
TX
Other
Enumeration date
09/14/2012
Last updated
09/20/2016
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