Individual
DR. IHSAN M SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2902 HAINE DRIVE, HARLINGEN, TX 78550
(956) 296-4000
(956) 296-2842
Mailing address
2102 TREASURE HILLS BLVD STE 2.126, HARLINGEN, TX 78550-8736
(956) 296-5527
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME98860
FL
2084P0800X
Psychiatry Physician
Primary
S6731
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001179664
—
PA
05
—
4306227-01
—
TX
01
—
BCBS
H08QJ49601
TX
Enumeration date
02/21/2006
Last updated
12/14/2021
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