Provider Demographics
NPI:1740417872
Name:SALINAS, CRYSTAL MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CRYSTAL
Middle Name:MICHELLE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6034 W COURTYARD DR STE 110
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-5064
Mailing Address - Country:US
Mailing Address - Phone:512-328-2266
Mailing Address - Fax:512-328-2055
Practice Address - Street 1:701 FM 685 STE 600
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-7095
Practice Address - Country:US
Practice Address - Phone:512-808-0190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3576208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX305575801Medicaid
TX305575802Medicaid
TX8X9604OtherBCBS
TXTXB165125Medicare PIN
TXTXB162781Medicare PIN