Doctor Name: | JUAN ROBERTO SALINAS |
NPI Number: | 1023429289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM |
License Number: | 2286 |
Business Practice Address: | 3502 Paesanos Pkwy Suite 100 Shavano Park, TX - 782311225 |
Business Phone Number: | 2105982801 |
Business Fax Number: | 2105987268 |
Mailing Address: | Po Box 592442, SAN ANTONIO |
State: | TX |
Postal Code: | 782590172 |
Phone Number: | 2105982801 |
Fax Number: | 2105987268 |
NPI Enumeration Date: | 05/09/2014 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 2286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |