Individual
DR. SALIM H JABBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1705 OHIO DR, SUITE 100, PLANO, TX 75093-5255
(972) 612-0430
Mailing address
PO BOX 260249, PLANO, TX 75026-0249
(972) 612-0430
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
K4716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153986801
—
TX
01
—
280001153
MEDICARE RAILROAD
TX
01
—
8A7551
BCBS
TX
Enumeration date
02/14/2006
Last updated
02/26/2014
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