Individual
DR. SALIM FARID DABAGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4005 TECHNOLOGY RD STE 1510, ANGLETON, TX 77515-2557
(979) 849-1414
(877) 809-2721
Mailing address
4005 TECHNOLOGY RD STE 1510, ANGLETON, TX 77515-2557
(979) 849-1414
(877) 809-2721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
J1222
TX
207RC0000X
Cardiovascular Disease Physician
Primary
J1222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021226
AMERIGROUP #
TX
01
—
1334169
UNITED HEALTHCARE #
TX
05
—
160579201
—
TX
01
—
688325
AETNA #
TX
01
—
8A6548
BCBS INDIVIDUAL #
TX
01
—
P00169704
MEDICARE RAILROAD INDIV #
TX
Enumeration date
09/20/2006
Last updated
11/30/2020
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