Provider Demographics
NPI:1225323645
Name:SALINAS, VANNESSA-EMMANUELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:VANNESSA-EMMANUELLE
Middle Name:
Last Name:SALINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 KOHLERS XING STE 100
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-2473
Mailing Address - Country:US
Mailing Address - Phone:512-268-2613
Mailing Address - Fax:512-268-2615
Practice Address - Street 1:830 KOHLERS XING STE 100
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-2473
Practice Address - Country:US
Practice Address - Phone:512-268-2613
Practice Address - Fax:512-268-2615
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8718207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB145176OtherWELLMED MEDICARE
TX309763601OtherWELLMED MEDICAID