Provider Demographics
NPI:1255739405
Name:SALINAS, JAVIER JR
Entity type:Individual
Prefix:
First Name:JAVIER
Middle Name:
Last Name:SALINAS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 RAMPART ST APT 647
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-1329
Mailing Address - Country:US
Mailing Address - Phone:956-451-9163
Mailing Address - Fax:
Practice Address - Street 1:5401 RAMPART ST APT 647
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1329
Practice Address - Country:US
Practice Address - Phone:956-451-9163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX212346224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant