Provider Demographics
NPI:1952326290
Name:SALINAS, JOSE EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:EDUARDO
Last Name:SALINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:540 MADISON OAK DR STE 260
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3930
Mailing Address - Country:US
Mailing Address - Phone:210-494-7464
Mailing Address - Fax:210-494-4292
Practice Address - Street 1:540 MADISON OAK DR STE 260
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3930
Practice Address - Country:US
Practice Address - Phone:210-494-7464
Practice Address - Fax:210-494-4292
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U76TMedicare ID - Type Unspecified
TXE39006Medicare UPIN