MEDICARE: DR. CRYSTAL MICHELLE SALINAS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	P3576	TX

General Provider Information

NPI Number	:	1740417872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CRYSTAL MICHELLE SALINAS MD

Provider Business Mailing Address
First Line	:	6034 W COURTYARD DR STE 110
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-5064
Country	:	US
Telephone Number	:	512-328-2266
Fax Number	:	512-328-2055

Provider Business Practice Location Address
First Line	:	701 FM 685 STE 600
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-7095
Country	:	US
Telephone Number	:	512-808-0190
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2009
Last Update Date	:	01/26/2023

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