Active NPI
Rafael Salas MD PA
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Paris, TX
National Provider Identifier
1720090152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME0047202
- Legal business name
- RAFAEL SALAS MD PA
- Practice address
- 1055 Clarksville St
Suite 170
Paris, TX 75460-6097 - Phone
- (903) 739-7830
- Fax
- (903) 739-7833
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Elena Salas
- Title
- Business Manager
- Phone
- (813) 766-2017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME0047202 | FL | Primary |
Addresses
Primary practice location
1055 Clarksville St
Suite 170
Paris, TX 75460-6097
Mailing address
1140 Levi
Paris, TX 75462-2059
Phone (813) 766-2017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099NS | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1720090152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 LEVI",
"city": "PARIS",
"state": "TX",
"postal_code": "754622059",
"telephone_number": "813-766-2017",
"fax_number": "813-933-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 CLARKSVILLE ST",
"address_2": "SUITE 170",
"city": "PARIS",
"state": "TX",
"postal_code": "754606097",
"telephone_number": "903-739-7830",
"fax_number": "903-739-7833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAFAEL SALAS MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "SALAS",
"authorized_official_first_name": "MARIA ELENA",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "813-766-2017",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME0047202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0099NS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.