Provider Demographics
NPI:1164725768
Name:SALCORP VENTURES, LLC
Entity Type:Organization
Organization Name:SALCORP VENTURES, LLC
Other - Org Name:INTEGRITY FIRST ASSIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:LSA
Authorized Official - Phone:281-499-2743
Mailing Address - Street 1:3302 GREENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-2020
Mailing Address - Country:US
Mailing Address - Phone:281-499-2743
Mailing Address - Fax:281-499-2743
Practice Address - Street 1:3302 GREENRIDGE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-2020
Practice Address - Country:US
Practice Address - Phone:281-499-2743
Practice Address - Fax:281-499-2743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363AS0400X
TX282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes282N00000XHospitalsGeneral Acute Care Hospital
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty