Provider Demographics
NPI:1124385265
Name:SALAKANA, ALEX PETER
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:PETER
Last Name:SALAKANA
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 1:7400 HARWIN DR STE 352
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2000
Mailing Address - Country:US
Mailing Address - Phone:281-701-7887
Mailing Address - Fax:
Practice Address - Street 1:7400 HARWIN DR STE 352
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2000
Practice Address - Country:US
Practice Address - Phone:281-701-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX706863146N00000X
171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No171W00000XOther Service ProvidersContractor