Provider Demographics
NPI: | 1124502596 |
---|---|
Name: | SALINAS, HENRY II (FNP) |
Entity type: | Individual |
Prefix: | MR |
First Name: | HENRY |
Middle Name: | |
Last Name: | SALINAS |
Suffix: | II |
Gender: | M |
Credentials: | FNP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 2200 FM 3009 |
Mailing Address - Street 2: | |
Mailing Address - City: | SCHERTZ |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78154-2723 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 210-566-4777 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2115 STEPHENS PL STE 900 |
Practice Address - Street 2: | |
Practice Address - City: | NEW BRAUNFELS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78130-2164 |
Practice Address - Country: | US |
Practice Address - Phone: | 830-214-6708 |
Practice Address - Fax: | 830-358-7711 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2018-09-20 |
Last Update Date: | 2023-08-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | AP138856 | 363LF0000X, 363LP0200X, 363L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No | 363LP0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |