Provider Demographics
NPI:1063414654
Name:CASTILLO-SALINAS, ELISA (MD)
Entity type:Individual
Prefix:
First Name:ELISA
Middle Name:
Last Name:CASTILLO-SALINAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 841969
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-1969
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5900 CHIMNEY ROCK RD
Practice Address - Street 2:SUITE Y
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-2706
Practice Address - Country:US
Practice Address - Phone:713-661-2951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9648208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics