Provider Demographics
NPI: | 1821402207 |
---|---|
Name: | F.P. SALINAS, M.D., P.A. |
Entity Type: | Organization |
Organization Name: | F.P. SALINAS, M.D., P.A. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | FULGENCIO |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SALINAS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 956-585-6800 |
Mailing Address - Street 1: | PO BOX 2497 |
Mailing Address - Street 2: | |
Mailing Address - City: | MCALLEN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78502-2497 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 956-585-6800 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 713 N BENTSEN PALM DR |
Practice Address - Street 2: | STE. H |
Practice Address - City: | MISSION |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78574-3796 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-585-6800 |
Practice Address - Fax: | 956-585-6802 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-06-13 |
Last Update Date: | 2014-06-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | G7325 | 207Q00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Multi-Specialty |