Individual
DR. BAHER M ELHALWAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 E MARSHALL AVE STE 3008, LONGVIEW, TX 75601-5500
(903) 315-2740
(903) 315-2742
Mailing address
703 E MARSHALL AVE, STE 3008, LONGVIEW, TX 75601-5500
(903) 315-2740
(903) 315-2742
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K2456
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
K2456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122034502
—
TX
Enumeration date
12/29/2005
Last updated
08/12/2022
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