Provider Demographics
NPI:1588638530
Name:SALINAS-PEREZ, HOMERO (MD)
Entity Type:Individual
Prefix:
First Name:HOMERO
Middle Name:
Last Name:SALINAS-PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 NOLANA ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2100
Mailing Address - Country:US
Mailing Address - Phone:956-618-0348
Mailing Address - Fax:956-618-0382
Practice Address - Street 1:1309 NOLANA ST
Practice Address - Street 2:SUITE A
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2100
Practice Address - Country:US
Practice Address - Phone:956-618-0348
Practice Address - Fax:956-618-0382
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113327402Medicaid
TX113327402Medicaid
TX00168DMedicare ID - Type UnspecifiedPROVIDER NUMBER