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NPI Code Detail

MEDICARE: SHANTA SALINAS

MEDICARE: SHANTA SALINAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP1009158TX

General Provider Information

NPI Number : 1366055766
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANTA SALINAS
Provider Business Mailing Address
First Line : 214 CHAPARRAL BLVD
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-4605
Country : US
Telephone Number : 956-263-1830
Fax Number : 956-263-1836
Provider Business Practice Location Address
First Line : 214 CHAPARRAL BLVD
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-4605
Country : US
Telephone Number : 956-263-1830
Fax Number : 956-263-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/25/2020

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Directions to “ SHANTA SALINAS ” Practice Location

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