Provider Demographics
NPI:1093440471
Name:SALINAS, JOHN GILBERT
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:GILBERT
Last Name:SALINAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 S F ST
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-6749
Mailing Address - Country:US
Mailing Address - Phone:956-425-1156
Mailing Address - Fax:956-425-2035
Practice Address - Street 1:1022 S F ST
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-6749
Practice Address - Country:US
Practice Address - Phone:956-425-1156
Practice Address - Fax:956-425-2035
Is Sole Proprietor?:No
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist