Active NPI
Marco Jose Barzallo Salazar, M.D.
- Obstetrics & Gynecology Physician
- Windcrest, TX
National Provider Identifier
1386873016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- P7387
- Practice address
- 5542 Walzem Rd
Windcrest, TX 78218-2103 - Phone
- (210) 637-2450
- Fax
- (210) 653-5640
- NPI assigned
- Jul 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NY | ||
| Specialist | 174400000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | P7387 | TX | Primary |
Addresses
Primary practice location
5542 Walzem Rd
Windcrest, TX 78218-2103
Mailing address
3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 334-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 327956401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1386873016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 COMMERCIAL AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782213117",
"telephone_number": "210-334-3700",
"fax_number": "210-922-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5542 WALZEM RD",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782182103",
"telephone_number": "210-637-2450",
"fax_number": "210-653-5640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARZALLO SALAZAR",
"first_name": "MARCO",
"middle_name": "JOSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "P7387",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "327956401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windcrest, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.