Provider Demographics
NPI:1174899330
Name:SALINAS, MARISSA YVETTE (PA-C)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:YVETTE
Last Name:SALINAS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4624
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-4624
Mailing Address - Country:US
Mailing Address - Phone:956-362-6890
Mailing Address - Fax:956-362-6895
Practice Address - Street 1:315 E MARK S PENA DR STE B
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6304
Practice Address - Country:US
Practice Address - Phone:956-362-6890
Practice Address - Fax:956-362-6895
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54916363A00000X
TXPA07755363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant