Provider Demographics
NPI:1841618188
Name:SALINAS, IGNACIO (CPED)
Entity Type:Individual
Prefix:
First Name:IGNACIO
Middle Name:
Last Name:SALINAS
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 JORDAN PL
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-8618
Mailing Address - Country:US
Mailing Address - Phone:210-885-0114
Mailing Address - Fax:210-462-9402
Practice Address - Street 1:7034 SNOWFLAKE DR
Practice Address - Street 2:STE. 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-1466
Practice Address - Country:US
Practice Address - Phone:210-885-0114
Practice Address - Fax:210-462-9402
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3845174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist