Provider Demographics
NPI:1053602359
Name:SALCIDO, PEDRO JR (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:
Last Name:SALCIDO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 SEVIER WELLS RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-4922
Mailing Address - Country:US
Mailing Address - Phone:714-366-4765
Mailing Address - Fax:
Practice Address - Street 1:5500 FRISCO SQUARE BLVD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-3305
Practice Address - Country:US
Practice Address - Phone:469-269-1610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-21
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNOT YET207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine