Individual
DR. ABDUL SALAM THANNOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 S SONCY RD SUITE 107, AMARILLO, TX 79119
(806) 354-2400
(806) 354-8070
Mailing address
3501 S SONCY RD STE 107, AMARILLO, TX 79119-6405
(806) 354-2400
(806) 354-8070
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
J0308
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100013041
RAILROAD MEDICARE
TX
05
—
131186204
—
TX
05
—
131186208
—
TX
Enumeration date
06/23/2006
Last updated
12/07/2023
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