Organization Active NPI

Rafael Salas MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Paris, TX
National Provider Identifier
1720090152
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME0047202 Issued in FL
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

Updated by the provider on Feb 27, 2008

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)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0099NSOtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.