Provider Demographics
NPI:1427021997
Name:SALDANA, JOEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:SALDANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JOEL
Other - Middle Name:
Other - Last Name:SALDANA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3349 S HWY 181
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KENEDY
Mailing Address - State:TX
Mailing Address - Zip Code:78119-5264
Mailing Address - Country:US
Mailing Address - Phone:830-583-2569
Mailing Address - Fax:830-583-3721
Practice Address - Street 1:3349 S HWY 181
Practice Address - Street 2:2
Practice Address - City:KENEDY
Practice Address - State:TX
Practice Address - Zip Code:78119-5264
Practice Address - Country:US
Practice Address - Phone:830-583-2569
Practice Address - Fax:830-583-3721
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH2747207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140081404Medicaid
TXC21483Medicare UPIN
TX00F83AMedicare ID - Type Unspecified