Individual
DR. SALIM BHALOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4425 E US HIGHWAY 377 STE 104, GRANBURY, TX 76049-7475
(682) 936-4081
(817) 570-0704
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
L1270
TX
207YS0123X
Facial Plastic Surgery Physician
L1270
TX
207YX0602X
Otolaryngic Allergy Physician
L1270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171536901
—
TX
01
—
8F0718
BCBS
TX
Enumeration date
01/05/2006
Last updated
11/03/2020
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