Provider Demographics
NPI:1619901006
Name:SALIM, AMIR (MD)
Entity Type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:SALIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7476207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH25587Medicare UPIN