# INTEGRA MEDICAL CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518413806
- **Authorized official:** DELIA LILA SALINAS MD (OFFICE MANGER)
- **Authorized official phone:** (713) 334-0530

## Contact information

- **Practice address:** 12000 RICHMOND AVE,, SUITE 330, HOUSTON, TX 77082-2428
- **Practice address phone:** (713) 334-2330
- **Practice address fax:** (713) 334-0552
- **Mailing address:** 12000 RICHMOND AVE,, SUITE 330, HOUSTON, TX 77082-2428
- **Mailing address phone:** (713) 334-2330
- **Mailing address fax:** (713) 334-0552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | P5722 | TX | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 04/01/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00M0Z4 | BCBS | TX |