Healthcare Provider Details

I. General information

NPI: 1598004061
Provider Name (Legal Business Name): SILAS SALANO DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 W PIONEER PKWY STE 200
ARLINGTON TX
76013-7627
US

IV. Provider business mailing address

1108 W PIONEER PKWY STE 200
ARLINGTON TX
76013-7627
US

V. Phone/Fax

Practice location:
  • Phone: 817-800-8380
  • Fax: 817-984-3970
Mailing address:
  • Phone: 817-800-8380
  • Fax: 817-984-3970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ER0200X
TaxonomyRadiology Podiatrist
License Number2080
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number2080
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number2080
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: