Provider Demographics
NPI:1396227765
Name:DANIEL SALAZAR, JULIE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:DANIEL SALAZAR
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17183 I 45 S STE 540
Mailing Address - Street 2:
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77385-3314
Mailing Address - Country:US
Mailing Address - Phone:713-730-2229
Mailing Address - Fax:713-230-8858
Practice Address - Street 1:17183 I 45 S STE 540
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-3314
Practice Address - Country:US
Practice Address - Phone:713-730-2229
Practice Address - Fax:713-230-8858
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138968363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily