Provider Demographics
NPI:1508159971
Name:SALAS, PRISILIANO JR (MD)
Entity type:Individual
Prefix:
First Name:PRISILIANO
Middle Name:
Last Name:SALAS
Suffix:JR
Gender:
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:13423 BLANCO RD # 194
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2187
Mailing Address - Country:US
Mailing Address - Phone:210-899-2549
Mailing Address - Fax:210-892-3584
Practice Address - Street 1:14603 HUEBNER RD STE 3402
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-5527
Practice Address - Country:US
Practice Address - Phone:210-899-2549
Practice Address - Fax:210-962-5438
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2025-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP5127207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine