Individual
DR. ELLIS J SALLOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8115 DATAPOINT DR STE 200, SAN ANTONIO, TX 78229-3745
(210) 615-6626
(210) 477-0279
Mailing address
215 N SAN SABA STE 301, SAN ANTONIO, TX 78207-3164
(210) 615-6626
(210) 477-0279
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
V8531
TX
2086S0129X
Vascular Surgery Physician
Primary
V8531
TX
Other
Enumeration date
05/31/2006
Last updated
08/04/2025
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