Basic Information
Provider Information
NPI: 1437114162
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SALINAS
FirstName: GUILLERMO
MiddleName:  
NamePrefix:  
NameSuffix: JR.
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8401 JACK FINNEY BLVD
Address2:  
City: GREENVILLE
State: TX
PostalCode: 754023017
CountryCode: US
TelephoneNumber: 8009452455
FaxNumber: 9034532541
Practice Location
Address1: 1700 EAST SAUNDERS
Address2:  
City: LAREDO
State: TX
PostalCode: 78041
CountryCode: US
TelephoneNumber: 9567965000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/18/2006
LastUpdateDate: 04/09/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202XD8909TXY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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