Provider Demographics
NPI:1346400496
Name:M SALEM MUAYAD MD PA
Entity Type:Organization
Organization Name:M SALEM MUAYAD MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:M
Authorized Official - Middle Name:SALEM
Authorized Official - Last Name:MUAYAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-420-9500
Mailing Address - Street 1:4201 GARTH RD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3167
Mailing Address - Country:US
Mailing Address - Phone:281-420-9500
Mailing Address - Fax:281-420-9600
Practice Address - Street 1:4201 GARTH RD
Practice Address - Street 2:SUITE 313
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3167
Practice Address - Country:US
Practice Address - Phone:281-420-9500
Practice Address - Fax:281-420-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3016261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service