Provider Demographics
NPI:1508159971
Name:SALAS, PRISILIANO JR (MD)
Entity Type:Individual
Prefix:
First Name:PRISILIANO
Middle Name:
Last Name:SALAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11503 NW MILITARY HWY
Mailing Address - Street 2:SUITE 111
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1884
Mailing Address - Country:US
Mailing Address - Phone:210-534-2566
Mailing Address - Fax:210-510-2912
Practice Address - Street 1:11503 NW MILITARY HWY
Practice Address - Street 2:SUITE 111
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1884
Practice Address - Country:US
Practice Address - Phone:210-534-2566
Practice Address - Fax:210-510-2912
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2014-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP5127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine