Provider Demographics
NPI:1780219873
Name:SALAZAR, SHERAMIE
Entity Type:Individual
Prefix:MRS
First Name:SHERAMIE
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 COUNTY ROAD 676
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:TX
Mailing Address - Zip Code:77535-6450
Mailing Address - Country:US
Mailing Address - Phone:281-786-7541
Mailing Address - Fax:
Practice Address - Street 1:563 COUNTY ROAD 676
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:TX
Practice Address - Zip Code:77535-6450
Practice Address - Country:US
Practice Address - Phone:281-786-7541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health