Individual
ISSAM HARMOUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SUITE 403, PORT ARTHUR, TX 77640-2000
(409) 853-5987
(409) 853-5978
Mailing address
2501 JIMMY JOHNSON BLVD, SUITE 403, PORT ARTHUR, TX 77640-2000
(409) 853-5987
(409) 853-5978
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G4230
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099812201
—
TX
Enumeration date
07/19/2005
Last updated
07/03/2012
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