Provider Demographics
NPI:1093770315
Name:SALINAS, BENJAMIN A (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:A
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 E. EIGHTH STREET
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-969-5237
Mailing Address - Fax:956-968-6290
Practice Address - Street 1:1609 N INTERNATIONAL BLVD
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-0285
Practice Address - Country:US
Practice Address - Phone:956-565-2727
Practice Address - Fax:956-351-5786
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097296003Medicaid
TX097296004Medicaid
TX097296001Medicaid
TXB26120Medicare UPIN
TX00A82VMedicare PIN
TX097296001Medicaid