Provider Demographics
NPI:1437798667
Name:SALAZAR, ALFREDO JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ALFREDO
Middle Name:
Last Name:SALAZAR
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 E COPELAND RD STE 140
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-4989
Mailing Address - Country:US
Mailing Address - Phone:817-461-7246
Mailing Address - Fax:817-469-4701
Practice Address - Street 1:900 E COPELAND RD STE 140
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-4989
Practice Address - Country:US
Practice Address - Phone:817-461-7246
Practice Address - Fax:817-469-4701
Is Sole Proprietor?:No
Enumeration Date:2020-01-06
Last Update Date:2020-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14265111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor