Healthcare Provider Details

I. General information

NPI: 1023338746
Provider Name (Legal Business Name): DAVID ALLEN SALINAS EMT-I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 SANTA ROSA ST
SAN DIEGO TX
78384-3917
US

IV. Provider business mailing address

1109 JOSEPHINE DR
ALICE TX
78332-3831
US

V. Phone/Fax

Practice location:
  • Phone: 361-562-8064
  • Fax:
Mailing address:
  • Phone: 361-562-8064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License Number145533
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: