Provider Demographics
NPI:1609007103
Name:SALUTE HOLDINGS, INC.
Entity Type:Organization
Organization Name:SALUTE HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-703-9647
Mailing Address - Street 1:PO BOX 1571
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-1571
Mailing Address - Country:US
Mailing Address - Phone:713-703-9647
Mailing Address - Fax:888-220-2771
Practice Address - Street 1:7324 SOUTHWEST FWY
Practice Address - Street 2:SUITE 560
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2012
Practice Address - Country:US
Practice Address - Phone:713-703-9647
Practice Address - Fax:888-220-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty