Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 2080 | TX |
N | 111NR0200X | Radiology | 2080 | TX |
N | 213ER0200X | Radiology | 2080 | TX |
N | 213ES0103X | Foot & Ankle Surgery | 2080 | TX |
NPI | 1598004061 |
---|---|
Provider Name | Dr. Silas Salano |
First Address | Grand Prairie, TX 75051-0928 |
Second Address | Grand Prairie, TX 75051-0928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2013 |
Last Update Date | 05/03/2015 |