Provider Demographics
NPI:1124390257
Name:SALINAS, TIFFANY
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:SALINAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8026 VANTAGE DR
Mailing Address - Street 2:STE. 224
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-4733
Mailing Address - Country:US
Mailing Address - Phone:210-462-9400
Mailing Address - Fax:210-462-9402
Practice Address - Street 1:8026 VANTAGE DR
Practice Address - Street 2:STE. 224
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-4733
Practice Address - Country:US
Practice Address - Phone:210-462-9400
Practice Address - Fax:210-462-9402
Is Sole Proprietor?:No
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other