Provider Demographics
NPI:1154515526
Name:ARIE SALZMAN P A
Entity type:Organization
Organization Name:ARIE SALZMAN P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLARREAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-794-8804
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151397001Medicaid
TX00619TMedicare PIN
TX151397001Medicaid