1073767992 NPI number — KAREN B. SALAND, M.D., PLLC

Table of content: (NPI 1073767992)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073767992 NPI number — KAREN B. SALAND, M.D., PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KAREN B. SALAND, M.D., PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073767992
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8220 WALNUT HILL LN STE 700
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75231-4403
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-691-8000
Provider Business Mailing Address Fax Number:
214-691-8003

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8220 WALNUT HILL LN STE 700
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231-4403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-691-8000
Provider Business Practice Location Address Fax Number:
214-691-8003
Provider Enumeration Date:
11/05/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
SALAND
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PROVIDER/OWNER
Authorized Official Telephone Number:
214-691-8000

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  L7155 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0926270001 . This is a "PALMETTO GBA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 170226801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".