Individual
DR. ALFRED SALIM MAKSOUD
Active
Individual
DR. ALFRED SALIM MAKSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
J5821
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04733901
—
TX
01
—
0925908
AETNA HMO
TX
01
—
10021308
AMERIGROUP
TX
01
—
5622523
AETNA EPO-PPO
TX
01
—
760077790
GROUP TAX ID
TX
01
—
86760Z
RENAISSANCE
TX
01
—
8A2942
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/08/2006
Last updated
08/11/2020
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