Healthcare Provider Details

I. General information

NPI: 1629047683
Provider Name (Legal Business Name): LINDA J SALINAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 09/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 SL YOUNG BLVD WP1160
OKLAHOMA CITY OK
73104-5033
US

IV. Provider business mailing address

920 SL YOUNG BLVD WP1160
OKLAHOMA CITY OK
73104-5033
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-6434
  • Fax:
Mailing address:
  • Phone: 405-271-1515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number20175
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: