Individual
DR. AHMAD JAMAL KHALIFA ALSALEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 5TH AVE, FORT WORTH, TX 76104-4302
(817) 877-0888
(817) 877-5039
Mailing address
7610 STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(214) 689-3804
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M1826
TX
207RG0100X
Gastroenterology Physician
MD60943434
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179399401
—
TX
01
—
8F3155
BCBSTX
TX
Enumeration date
03/24/2006
Last updated
03/28/2022
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