Organization
HAITHAM JIFI-BAHLOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAITHAM JIFI MD (MD)
(361) 991-0112
Entity
Organization
Contact information
Practice address
5920 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-4103
(361) 991-0112
(361) 991-0181
Mailing address
5920 SARATOGA BLVD, CORPUS CHRISTI, TX 78414-4103
(361) 991-0112
(361) 991-0181
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J9719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120623704
—
TX
Enumeration date
06/08/2009
Last updated
06/08/2009
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