Provider Demographics
NPI:1346275799
Name:AMIR SALIM, M.D. P.A.
Entity Type:Organization
Organization Name:AMIR SALIM, M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-557-0707
Mailing Address - Street 1:450 N TEXAS AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4963
Mailing Address - Country:US
Mailing Address - Phone:281-557-0707
Mailing Address - Fax:281-557-3670
Practice Address - Street 1:450 N TEXAS AVE STE C
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4963
Practice Address - Country:US
Practice Address - Phone:281-557-0707
Practice Address - Fax:281-557-3670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherEIN NUMBER