Provider Demographics
NPI:1528369048
Name:JOSE E SALINAS MD PA
Entity Type:Organization
Organization Name:JOSE E SALINAS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-494-7464
Mailing Address - Street 1:PO BOX 782369
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-2369
Mailing Address - Country:US
Mailing Address - Phone:210-494-7464
Mailing Address - Fax:210-492-1441
Practice Address - Street 1:540 MADISON OAK DR STE 260
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3930
Practice Address - Country:US
Practice Address - Phone:210-494-7464
Practice Address - Fax:210-492-1441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-15
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5148261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U76TMedicare UPIN