Provider Demographics
NPI:1982668927
Name:SALMAN, GHASSAN F (MD)
Entity Type:Individual
Prefix:
First Name:GHASSAN
Middle Name:F
Last Name:SALMAN
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 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3108 RANCH ROAD 620 S
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78738-5635
Practice Address - Country:US
Practice Address - Phone:512-654-4200
Practice Address - Fax:512-654-4201
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5545207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX155224201Medicaid
TXP00463329OtherRRMCR
TX155224202Medicaid
TXP00463329OtherRRMCR
TX155224202Medicaid
TX8L14229Medicare PIN
TX390002191Medicare PIN