Individual
DR. USAMA IBRAHIM SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MB BCH
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, APT 408, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
Q7108
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378399503
—
TX
01
—
378399504
MEDICAID-CSHCN
TX
01
—
8MM988
BCBS
TX
Enumeration date
12/18/2012
Last updated
10/27/2020
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