Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | MD.205143 | LA |
Y | 207RR0500X | Rheumatology | T2264 | TX |
N | 208D00000X | General Practice Physician | MD.205143 | LA |
NPI | 1043530207 |
---|---|
Provider Name | Dr. Maria De Jesus Salinas |
First Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Second Address | Jbsa Ft Sam Houston, TX 78234-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2010 |
Last Update Date | 04/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T2264 | TEXAS MEDICAL LICENSE (01) | TX |