Provider Demographics
NPI:1639162167
Name:GARCIA, DORA SALINAS (MD)
Entity Type:Individual
Prefix:
First Name:DORA
Middle Name:SALINAS
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DORA
Other - Middle Name:S
Other - Last Name:SALINAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14530 NW MILITARY HWY
Mailing Address - Street 2:
Mailing Address - City:SHAVANO PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78231-1622
Mailing Address - Country:US
Mailing Address - Phone:210-450-6620
Mailing Address - Fax:210-450-6621
Practice Address - Street 1:14530 NW MILITARY HWY
Practice Address - Street 2:
Practice Address - City:SHAVANO PARK
Practice Address - State:TX
Practice Address - Zip Code:78231-1622
Practice Address - Country:US
Practice Address - Phone:210-450-6620
Practice Address - Fax:210-450-6621
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0723207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1639162167Medicaid
TX175713003Medicaid
TX175713004OtherCSHCN
TX175713002Medicaid