Provider Demographics
NPI:1023317823
Name:SALINAS, MARK (D C)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:SALINAS
Suffix:
Gender:M
Credentials:D C
Other - Prefix:DR
Other - First Name:MARK
Other - Middle Name:
Other - Last Name:SALINAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2520 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78332-4188
Mailing Address - Country:US
Mailing Address - Phone:361-664-1181
Mailing Address - Fax:361-668-3911
Practice Address - Street 1:2520 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78332-4188
Practice Address - Country:US
Practice Address - Phone:361-664-1181
Practice Address - Fax:361-668-3911
Is Sole Proprietor?:No
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor