Individual
GENIE SALCIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
540 W 15TH ST, HEREFORD, TX 79045-2820
(806) 364-7512
Mailing address
PO BOX 50254, AMARILLO, TX 79159-0254
(806) 316-7779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08629
TX
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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