Provider Demographics
NPI:1669755906
Name:SALCIDO, LAURA VUELVAS (PA)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:VUELVAS
Last Name:SALCIDO
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1220 W UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79764-7118
Mailing Address - Country:US
Mailing Address - Phone:432-332-6600
Mailing Address - Fax:432-332-8011
Practice Address - Street 1:709 W LOUISIANA AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-3248
Practice Address - Country:US
Practice Address - Phone:432-221-3100
Practice Address - Fax:432-221-3121
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2024-06-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA06569363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA06569OtherPHYSICIAN ASSISTANT