Individual
MRS. CYNTHIA SALLOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
614 FURMAN AVE, CORPUS CHRISTI, TX 78404-2325
(361) 882-9278
(361) 882-9279
Mailing address
614 FURMAN AVE, CORPUS CHRISTI, TX 78404-2325
(361) 882-9278
(361) 882-9279
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
K4552
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046254101
—
TX
Enumeration date
06/09/2006
Last updated
09/24/2014
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