Healthcare Provider Details

I. General information

NPI: 1174549109
Provider Name (Legal Business Name): DORIS ANN YBARRA-SALINAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 09/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 VEAZEY DR
BUTNER NC
27509-1668
US

IV. Provider business mailing address

300 VEAZEY DR
BUTNER NC
27509-1668
US

V. Phone/Fax

Practice location:
  • Phone: 919-764-5312
  • Fax: 919-764-5198
Mailing address:
  • Phone: 919-764-5312
  • Fax: 919-764-5198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMO319
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2012-00176
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: