Provider Demographics
NPI:1467490466
Name:SALZMAN, ARIE (MD)
Entity Type:Individual
Prefix:
First Name:ARIE
Middle Name:
Last Name:SALZMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 E SAUNDERS
Mailing Address - Street 2:SUITE B670
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5401
Mailing Address - Country:US
Mailing Address - Phone:956-795-8275
Mailing Address - Fax:956-795-8278
Practice Address - Street 1:1710 E SAUNDERS
Practice Address - Street 2:SUITE B670
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5401
Practice Address - Country:US
Practice Address - Phone:956-795-8275
Practice Address - Fax:956-795-8278
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-02
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0921207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX037599002Medicaid
H28360Medicare UPIN
TX037599002Medicaid