Provider Demographics
NPI:1710455811
Name:SALMON, HAROLD COULTER (NP-C)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:COULTER
Last Name:SALMON
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:COULTER
Other - Middle Name:
Other - Last Name:SALMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:2001 HUTCHINS AVE
Mailing Address - Street 2:STE A
Mailing Address - City:BALLINGER
Mailing Address - State:TX
Mailing Address - Zip Code:76821-4453
Mailing Address - Country:US
Mailing Address - Phone:325-365-4090
Mailing Address - Fax:833-713-1366
Practice Address - Street 1:3901A SPICEWOOD SPRINGS RD STE 201
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-8728
Practice Address - Country:US
Practice Address - Phone:737-226-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139302363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily