Individual
MAHA S. SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7102 WESTWIND DR, EL PASO, TX 79912-1726
(915) 581-5100
(915) 581-6100
Mailing address
7102 WESTWIND DR, EL PASO, TX 79912-1726
(915) 581-5100
(915) 581-6100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M0554
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171512001
—
TX
01
—
8H0434
BC/BS OF TEXAS
TN
Enumeration date
08/23/2006
Last updated
03/07/2023
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