Provider Demographics
NPI:1700903861
Name:SALMAN, JENAN M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JENAN
Middle Name:M
Last Name:SALMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:JENAN
Other - Middle Name:AL-YAZDI
Other - Last Name:SALMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2908 LANTANA RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2009
Mailing Address - Country:US
Mailing Address - Phone:512-266-4792
Mailing Address - Fax:
Practice Address - Street 1:2908 LANTANA RIDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2009
Practice Address - Country:US
Practice Address - Phone:512-266-4792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38614261QM0801X, 282E00000X
NV11208282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Not Answered282N00000XHospitalsGeneral Acute Care Hospital
Not Answered282E00000XHospitalsLong Term Care Hospital