Provider Demographics
NPI:1336133834
Name:SALCEDO, VICTOR MANUEL (MD)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:MANUEL
Last Name:SALCEDO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 570
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1800
Mailing Address - Country:US
Mailing Address - Phone:713-777-4217
Mailing Address - Fax:713-777-4387
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE 570
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1800
Practice Address - Country:US
Practice Address - Phone:713-777-4217
Practice Address - Fax:713-777-4387
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2014-06-20
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Provider Licenses
StateLicense IDTaxonomies
TXH1203207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122628405Medicaid
TX122628407Medicaid
TX8EA795OtherBLUE CROSS BLUE SHIELD
TX122628405Medicaid
TX122628407Medicaid
TX318882YK6UMedicare PIN