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Individual

MR. HASSAN NASIM SALLOUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
7102 WESTWIND, EL PASO, TX 79912
(915) 581-5100
(915) 581-6100
Mailing address
7102 WESTWIND, EL PASO, TX 79912
(915) 581-5100
(915) 581-6100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9319
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103742602
TX
01
838723
BC/BS OF TEXAS
TX
01
8AA313
BCBS
TX
05
K2949
NM
Enumeration date
08/23/2006
Last updated
11/15/2016
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