Provider Demographics
NPI:1619150828
Name:BENJAMIN A. SALINAS MD, PA
Entity Type:Organization
Organization Name:BENJAMIN A. SALINAS MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-565-6373
Mailing Address - Street 1:801 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-2607
Mailing Address - Country:US
Mailing Address - Phone:956-565-6373
Mailing Address - Fax:956-565-6177
Practice Address - Street 1:801 W 2ND ST
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2607
Practice Address - Country:US
Practice Address - Phone:956-565-6373
Practice Address - Fax:956-565-6177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5050207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX190653901Medicaid
TX190653901Medicaid