Provider Demographics
NPI:1649611997
Name:SALINAS, MARTIN (LSA)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:
Last Name:SALINAS
Suffix:
Gender:M
Credentials:LSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 SUGAR CREEK CENTER BLVD STE 618
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3540
Mailing Address - Country:US
Mailing Address - Phone:832-655-4141
Mailing Address - Fax:713-457-5188
Practice Address - Street 1:1 SUGAR CREEK CENTER BLVD STE 618
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3540
Practice Address - Country:US
Practice Address - Phone:713-779-9800
Practice Address - Fax:713-779-9813
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8MF232OtherBCBS - UNIVERSAL SURGICAL ASSISTANTS
TX8MF261OtherBCBS - UNIVERSAL SURGICAL PARTNERS INC
TX8MF126OtherBCBS - BLUE STAR SURGICAL ASSISTANTS LLC
TXSA00786OtherTEXAS MEDICAL BOARD
TX8MF262OtherBCBS - XCITE SURGICAL LLC