Organization
SALIM F DABAGHI, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALIM FARID DABAGHI M.D. (OWNER)
(979) 849-1414
Entity
Organization
Contact information
Practice address
146 E HOSPITAL DR, STE. 201, ANGLETON, TX 77515-4169
(979) 849-1414
(979) 849-1415
Mailing address
4005 TECHNOLOGY RD STE 1510, ANGLETON, TX 77515-2557
(979) 849-1414
(877) 809-2721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00145V
BCBS GROUP #
TX
05
—
160571901
—
TX
01
—
DA1376
MEDICARE RR GROUP #
TX
Enumeration date
09/20/2006
Last updated
11/30/2020
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