Provider Demographics
NPI:1467850164
Name:MARGAIN-SALAZAR, ALESSANDRA (OD)
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:
Last Name:MARGAIN-SALAZAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 SW MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1461
Mailing Address - Country:US
Mailing Address - Phone:210-924-6527
Mailing Address - Fax:
Practice Address - Street 1:1720 S W W WHITE ROAD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220
Practice Address - Country:US
Practice Address - Phone:210-333-4340
Practice Address - Fax:210-333-4357
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-11
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7904T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist