Provider Demographics
NPI:1821321613
Name:ALHALABI, MOHAMMAD SALEM (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:SALEM
Last Name:ALHALABI
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:PO BOX 1283
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-1283
Mailing Address - Country:US
Mailing Address - Phone:409-729-6700
Mailing Address - Fax:409-729-6705
Practice Address - Street 1:2001 9TH AVE
Practice Address - Street 2:STE 201
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-2701
Practice Address - Country:US
Practice Address - Phone:409-729-6700
Practice Address - Fax:409-729-6705
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9789174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM9789OtherTX MED LICENSE