Luis Joel Salcido, MS.CCC.SLP
Individual provider Active NPI Speech-Language Pathologist · Wink, TX
NPI 1295855203 · NPPES record last updated Jun 13, 2023
Key facts
- NPI
- 1295855203
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 19516 (TX)
- Practice address
- 200 N Rosy Dodd Ave.
Wink, TX 79789 - Phone
- (432) 527-3505
- Fax
- (432) 527-3505
- NPI assigned
- Mar 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19516 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wink-Loving Isd | Current |
Accepting new patients | |
| Permian Basin Rehabilitation Center | Past | Accepting new patients | |
| Permian Basin Rehabilitation Center for Crippled Children and Adults | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19516 | TX | Yes |
Addresses
Primary practice location
200 N Rosy Dodd Ave.
Wink, TX 79789
Mailing address
PO Box 637
Wink, TX 79789-0637
Phone (432) 527-3880
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19516 | Other | TX | STATE LICENSE NUMBER |
| 756002793 | Medicaid | TX |
Other providers in Wink, TX
All providers in Wink, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.