Organization Name: | JAMES E. SALTZ, JR. M.D. P.A. |
NPI Number: | 1205942885 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES EDWIN SALTZ (ADMINISTRATOR/OWNER) |
Mailing Address: | 325 S 1st St Tucumcari |
State: | NM US |
Postal Code: | 884012707 |
Phone Number: | 5054612222 |
Fax Number: | 5054612255 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R63323 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |