Active NPI
Rolando Salas
- Athletic Trainer
- Stinnett, TX
National Provider Identifier
1659732220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 6430
- Practice address
- 600 Stewart Street
Stinnett, TX 79083-7301 - Phone
- (806) 878-2456
- Fax
- (806) 878-4242
- NPI assigned
- Mar 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 6430 | TX | Primary |
Addresses
Primary practice location
600 Stewart Street
Stinnett, TX 79083-7301
Mailing address
801 Williams Street
P.O. Box 316
Stinnett, TX 79083-7301
Phone (806) 231-7243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6430 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1659732220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 WILLIAMS STREET",
"address_2": "P.O. BOX 316",
"city": "STINNETT",
"state": "TX",
"postal_code": "790837301",
"telephone_number": "806-231-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 STEWART STREET",
"city": "STINNETT",
"state": "TX",
"postal_code": "790837301",
"telephone_number": "806-878-2456",
"fax_number": "806-878-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAS",
"first_name": "ROLANDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "6430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stinnett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.