Individual
EMILE CHAWKI SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 RODD FIELD RD, SUITE 100, CORPUS CHRISTI, TX 78412-4926
(361) 887-0067
(361) 883-1484
Mailing address
PO BOX 81346, CORPUS CHRISTI, TX 78468-1346
(361) 887-0067
(361) 883-1484
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
K3846
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029575002
—
TX
01
—
5070549
AETNA
TX
01
—
8846B0
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/10/2006
Last updated
07/28/2016
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