Provider Demographics
NPI:1851444939
Name:SALDIVAR, DALECIA L
Entity type:Individual
Prefix:
First Name:DALECIA
Middle Name:L
Last Name:SALDIVAR
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 1:800 CHEYENNE VALLEY CV
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3945
Mailing Address - Country:US
Mailing Address - Phone:512-484-4544
Mailing Address - Fax:512-836-6316
Practice Address - Street 1:810 W BRAKER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4111
Practice Address - Country:US
Practice Address - Phone:512-836-6555
Practice Address - Fax:512-836-6316
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other