Provider Demographics
NPI:1043822398
Name:SALDANA, MARK DANIEL (DPT)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:DANIEL
Last Name:SALDANA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15331 FORT MARCY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-3188
Mailing Address - Country:US
Mailing Address - Phone:210-387-5220
Mailing Address - Fax:210-399-1821
Practice Address - Street 1:3619 PAESANOS PKWY STE 102
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78231-1254
Practice Address - Country:US
Practice Address - Phone:210-399-4865
Practice Address - Fax:210-399-1821
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1335604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist