Provider Demographics
NPI:1114108958
Name:DR JAMIE ROCKY SALINAS MD PA
Entity Type:Organization
Organization Name:DR JAMIE ROCKY SALINAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:ROCKY
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-361-5009
Mailing Address - Street 1:320 N WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-4118
Mailing Address - Country:US
Mailing Address - Phone:956-361-5009
Mailing Address - Fax:956-361-4539
Practice Address - Street 1:320 N WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-4118
Practice Address - Country:US
Practice Address - Phone:956-361-5009
Practice Address - Fax:956-361-4539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9885207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty