Healthcare Provider Details

I. General information

NPI: 1053291724
Provider Name (Legal Business Name): ERICA RAE SALINAS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 N OAK ST
PEARSALL TX
78061-3217
US

IV. Provider business mailing address

205 N OAK ST
PEARSALL TX
78061-3217
US

V. Phone/Fax

Practice location:
  • Phone: 830-334-4142
  • Fax:
Mailing address:
  • Phone: 830-334-4142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1208383
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: