Individual
AMMAR MOHAMED-ALI HALLOUM
Active
Individual
AMMAR MOHAMED-ALI HALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M4804
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M4804
TX
207RP1001X
Pulmonary Disease Physician
Primary
M4804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183807001
—
TX
05
—
183807002
—
TX
01
—
8A9371
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/13/2006
Last updated
02/29/2012
Update your record
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