Provider Demographics
NPI:1891873212
Name:SALAZAR, CESAR O (MD)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:O
Last Name:SALAZAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1733 WESTON BRENT LN
Mailing Address - Street 2:SUITE A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3034
Mailing Address - Country:US
Mailing Address - Phone:915-595-4074
Mailing Address - Fax:915-595-0707
Practice Address - Street 1:1733 WESTON BRENT LN
Practice Address - Street 2:SUITE A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3034
Practice Address - Country:US
Practice Address - Phone:915-595-4074
Practice Address - Fax:915-595-0707
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ6230207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT0088883OtherDPS NUMBER
TX100351902Medicaid
TXJ6230OtherSTATE LICENSE
BS2992522OtherDEA NUMBER
TXJ6230OtherSTATE LICENSE
TX100351902Medicaid