Healthcare Provider Details

I. General information

NPI: 1265865307
Provider Name (Legal Business Name): CYNTHIA G SALINAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 GENERAL CAVAZOS BLVD
KINGSVILLE TX
78363-7150
US

IV. Provider business mailing address

1615 SANTA FE DR
KINGSVILLE TX
78363-3435
US

V. Phone/Fax

Practice location:
  • Phone: 361-595-1661
  • Fax:
Mailing address:
  • Phone: 361-595-7557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number675415
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: