Individual provider · Type 1 NPI
Destinee Renee Salazar-Evans, PA-C
Surgical Physician Assistant · The Colony, TX
NPI number
1669369799
Active
Practice location
4521 Newport Dr
The Colony, TX 75056-4039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA19112 (TX) |
| Physician Assistant | 363A00000X | PA19112 (TX) |
Surgical Physician Assistant: Definition to come...
About NPI 1669369799
Destinee Renee Salazar-Evans, PA-C's National Provider Identifier is 1669369799, issued on Jun 20, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in The Colony, TX. The record was last updated on Sep 4, 2025.