Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | R3423 | TX |
NPI | 1083902068 |
---|---|
Provider Name | Christina Alicia Salazar |
First Address | Austin, TX 78712-1765 |
Second Address | Austin, TX 78712-1765 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2011 |
Last Update Date | 07/02/2019 |