Basic Information
| Provider Information | |||||||||
| NPI: | 1508804618 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALCEDO | ||||||||
| FirstName: | JORGE | ||||||||
| MiddleName: | A. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8190 BARKER CYPRESS RD | ||||||||
| Address2: | SUITE 1500 | ||||||||
| City: | CYPRESS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774331223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815008600 | ||||||||
| FaxNumber: | 2815008699 | ||||||||
| Practice Location | |||||||||
| Address1: | 8190 BARKER CYPRESS RD | ||||||||
| Address2: | SUITE 1500 | ||||||||
| City: | CYPRESS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774331223 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2815008600 | ||||||||
| FaxNumber: | 2815008699 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/02/2006 | ||||||||
| LastUpdateDate: | 02/03/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QA0505X | M2786 | TX | Y | Allopathic & Osteopathic Physicians | Family Medicine | Adult Medicine |
No ID Information.