Basic Information
| Provider Information | |||||||||
| NPI: | 1780987396 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SALINAS | ||||||||
| FirstName: | MAGDALENA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2603 MICHAEL ANGELO | ||||||||
| Address2: | |||||||||
| City: | EDINBURG | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785391417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9563628767 | ||||||||
| FaxNumber: | 9563622548 | ||||||||
| Practice Location | |||||||||
| Address1: | 2603 MICHAEL ANGELO | ||||||||
| Address2: | |||||||||
| City: | EDINBURG | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785391417 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9563628767 | ||||||||
| FaxNumber: | 9563622548 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2010 | ||||||||
| LastUpdateDate: | 05/15/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AM0700X | PA05541 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Medical |
ID Information
| ID | Type | State | Issuer | Description | PA05541 | 01 | TX | TEXAS LICENSE | OTHER | MS1817191 | 01 | TX | DEA | OTHER | 60156745 | 01 | TX | DPS | OTHER |