Provider Demographics
NPI:1730270711
Name:SALINAS, ALBERT DAVID (RPH)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:DAVID
Last Name:SALINAS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N SAM HOUSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-4669
Mailing Address - Country:US
Mailing Address - Phone:956-399-5501
Mailing Address - Fax:956-399-0959
Practice Address - Street 1:500 N SAM HOUSTON BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SAN BENITO
Practice Address - State:TX
Practice Address - Zip Code:78586-4669
Practice Address - Country:US
Practice Address - Phone:956-399-5501
Practice Address - Fax:956-399-0959
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10297183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016081401Medicaid