Provider Demographics
NPI:1033387238
Name:SALINAS, FULGENCIO P (MD)
Entity Type:Individual
Prefix:
First Name:FULGENCIO
Middle Name:P
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:FRANK
Other - Middle Name:
Other - Last Name:SALINAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2601 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8472
Mailing Address - Country:US
Mailing Address - Phone:956-664-1400
Mailing Address - Fax:956-992-7678
Practice Address - Street 1:2601 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8472
Practice Address - Country:US
Practice Address - Phone:956-664-1400
Practice Address - Fax:956-992-7678
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7325207ZP0102X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G7325OtherTX MED LICENSE
TX274782ZUQAOtherMEDICARE PTAN
TX113327402Medicaid