Provider Demographics
NPI:1447583042
Name:SALAZAR, ESTELLA (ACNP)
Entity type:Individual
Prefix:
First Name:ESTELLA
Middle Name:
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 117614
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-7614
Mailing Address - Country:US
Mailing Address - Phone:106-151-9012
Mailing Address - Fax:210-615-1905
Practice Address - Street 1:3603 PAESANOS PKWY STE 205A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1267
Practice Address - Country:US
Practice Address - Phone:210-615-1901
Practice Address - Fax:210-615-1905
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP117185363LA2100X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care