Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 7828 | AK |
Y | 207V00000X | Obstetrician & Gynecologist | MD2017-0677 | NM |
N | 207VG0400X | Gynecologist | H4668 | TX |
NPI | 1194768051 |
---|---|
Provider Name | Ms. Jeanmarie K Salinas |
First Address | Roswell, NM 88201-5892 |
Second Address | Roswell, NM 88201-5892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 04/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00Z552 | BLUE CROSS BLUE SHIELD (01) | TX |
00Z552 | MEDICARE (01) | TX |
114686201 | (05) | TX |
E12523 | (02) | TX |