Adelitas Medical-Nwh
Family Medicine in Dallas, TX. Organization (NPI-2).
NPI number1912214446
StatusActive
Last updated in NPPESJul 29, 2011
Details
- NPI
- 1912214446
- Entity type
- Organization (NPI-2)
- Legal business name
- Adelitas Medical-Nwh
- Organization subpart
- No
- Enumeration date
- Sep 3, 2010
- Last updated
- Jul 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | M0897 | TX | Yes |
Other names
- Adelitas Medical (Doing Business As)
Practice location
610 E Jefferson BlvdSuite 110
Dallas, TX 75203-2750
Phone 214-351-9400 · Fax 214-222-9114
Mailing address
610 E Jefferson BlvdSuite 110
Dallas, TX 75203-2750
Phone 214-351-9400 · Fax 214-222-9114
Authorized official
Angel Salazar
Owner
2143519400
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