Individual
NATHALIE SIMONE BARSOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
712 TEXAS AVE, GALVESTON, TX 77555-0001
(409) 772-1011
Mailing address
PO BOX 650859, DALLAS, TX 75265-0859
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
BP10090027
TX
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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