Provider Demographics
NPI:1235252164
Name:SALAZAR, JOE MICHAEL (OD)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:MICHAEL
Last Name:SALAZAR
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Gender:M
Credentials:OD
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Mailing Address - Street 1:1209 W BAY AREA BLVD
Mailing Address - Street 2:TODAY'S VISION BAYBROOK ASSOCIATES, P.A.
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-3832
Mailing Address - Country:US
Mailing Address - Phone:281-338-1919
Mailing Address - Fax:281-554-5364
Practice Address - Street 1:1209 W BAY AREA BLVD
Practice Address - Street 2:TODAY'S VISION BAYBROOK ASSOCIATES, P.A.
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-3832
Practice Address - Country:US
Practice Address - Phone:281-338-1919
Practice Address - Fax:281-554-5364
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2009-06-09
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Provider Licenses
StateLicense IDTaxonomies
TX6618TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist