Table of content for
MS.
NORMA
M.
SALCIDO
WHNP (NPI 1033190012)
GeneralOrganization/Personal Information
| Employer Identification Number (EIN) | : | |
| Provider Organization Name (Legal Business Name) | : | |
| Provider Last Name (Legal Name) | : | SALCIDO |
| Provider First Name | : | NORMA |
| Provider Middle Name | : | M. |
| Provider Name Prefix Text | : | MS. |
| Provider Name Suffix Text | : | |
| Provider Credential Text | : | WHNP |
| Provider Gender Code | : | F |
Provider's Other Name Information
| Provider Other Organization Name | : | |
| Provider Other Organization Name Type Code | : | |
| Provider Other Last Name | : | |
| Provider Other First Name | : | |
| Provider Other Middle Name | : | |
| Provider Other Name Prefix Text | : | |
| Provider Other Name Suffix Text | : | |
| Provider Other Credential Text | : | |
| Provider Other Last Name Type Code | : | |
NPI Number Information
| NPI Number | : | 1033190012 |
| Entity Type Code | : | Individual |
| Replacement NPI | : | |
| Last Update Date | : | 07/09/2007 |
| NPI Deactivation Reason Code | : | |
| NPI Deactivation Date | : | |
| NPI Reactivation Date | : | |
Provider's Business Mailing Address
| Provider First Line Business Mailing Address | : | 4824 ALBERTA AVE |
| Provider Second Line Business Mailing Address | : | SUITE 403 |
| Provider Business Mailing Address City Name | : | EL PASO |
| Provider Business Mailing Address State Name | : | TX |
| Provider Business Mailing Address Postal Code | : | 799052725 |
| Provider Business Mailing Address Country Code | : | US |
| Provider Business Mailing Address Telephone Number | : | 9155217415 |
| Provider Business Mailing Address Fax Number | : | 9155217920 |
Provider's Practice Location Mailing Address
| Provider First Line Business Practice Location Address | : | 4815 ALAMEDA AVE |
| Provider Second Line Business Practice Location Address | : | |
| Provider Business Practice Location Address City Name | : | EL PASO |
| Provider Business Practice Location Address State Name | : | TX |
| Provider Business Practice Location Address Postal Code | : | 799052705 |
| Provider Business Practice Location Address Country Code | : | US |
| Provider Business Practice Location Address Telephone Number | : | 9155217415 |
| Provider Business Practice Location Address Fax Number | : | 9155217920 |
| Provider Enumeration Date | : | 11/08/2005 |
Authorized Official
| Authorized Official Last Name | : | |
| Authorized Official First Name | : | |
| Authorized Official Middle Name | : | |
| Authorized Official Title or Position | : | |
| Authorized Official Telephone Number | : | |
Provider Taxonomy Codes
- Taxonomy code: 364SW0102X
, with the licence number: 236997
, registered in the state of TX
.
Other Provider's Identifiers (legacy, non-NPI)
- Identifier: R59762
, issued by the state of ( TX )
.
This identifiers is of the category "".
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