Organization Active NPI

Mario R. Salazar, M.D., P.a.

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1457550261
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M7587 Issued in TX
Legal business name
MARIO R. SALAZAR, M.D., P.A.
Practice address
7979 W Virginia Dr
Dallas, TX 75237-3798
Phone
(972) 296-4458
Fax
(972) 875-5121
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mario Rey Salazar, M.D.
Title
Owner
Phone
(972) 296-4458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X M7587 TX Primary

Addresses

Primary practice location

7979 W Virginia Dr
Dallas, TX 75237-3798

Mailing address

PO Box 301
Ennis, TX 75120-0301
Phone (972) 296-4458

Other identifiers 1

IdentifierTypeStateIssuer
0012QCOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

2203 W Lampasas St
Ste 218
Ennis, TX 75119
Phone (972) 296-4458

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1457550261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751200301",
            "telephone_number": "972-296-4458",
            "fax_number": "972-875-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7979 W VIRGINIA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373798",
            "telephone_number": "972-296-4458",
            "fax_number": "972-875-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO R. SALAZAR, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "REY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-296-4458",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0012QC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.