Provider Demographics
NPI:1861436263
Name:SALINAS, BRENDA L (MD)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:L
Last Name: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 1:4700 BEN HOGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-7336
Mailing Address - Country:US
Mailing Address - Phone:956-583-0300
Mailing Address - Fax:956-583-0320
Practice Address - Street 1:201 S SHARY RD STE 100
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-1010
Practice Address - Country:US
Practice Address - Phone:956-583-0300
Practice Address - Fax:956-583-0320
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8972207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173201801Medicaid
TX1586950-03Medicaid
TX8F0224Medicare PIN
TX1586950-03Medicaid