Individual
HAITHAM JIFI-BAHLOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7326 S STAPLES ST, CORPUS CHRISTI, TX 78413-5509
(361) 991-0112
(361) 991-0181
Mailing address
7326 S STAPLES ST, CORPUS CHRISTI, TX 78413-5509
(361) 991-0112
(361) 991-0181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J9719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120623711
—
TX
01
—
TXB125353
MEDICARE
TX
Enumeration date
07/12/2006
Last updated
04/22/2025
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