MEDICARE: DR. HERIBERTO SALINAS MD

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
1	207Q00000X	Family Medicine Physician	J2295	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	17563	OTHER	TX	PARKLAND
3	82921Y	OTHER	TX	BLUECROSS BLUESHIELD
4	10012471	OTHER	TX	AMERIGROUP

General Provider Information

NPI Number	:	1609808500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERIBERTO SALINAS MD

Provider Business Mailing Address
First Line	:	201 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3066
Country	:	US
Telephone Number	:	817-645-0409
Fax Number	:	817-645-0408

Provider Business Practice Location Address
First Line	:	201 N BROADWAY ST
Second Line	:
City	:	JOSHUA
State	:	TX
Zip	:	76058-3066
Country	:	US
Telephone Number	:	817-645-0409
Fax Number	:	817-645-0408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	03/19/2024

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Directions to “ DR. HERIBERTO SALINAS MD” Practice Location

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