Provider Demographics
NPI:1265947766
Name:TEXAS SINUS AND ALLERGY PLLC
Entity type:Organization
Organization Name:TEXAS SINUS AND ALLERGY PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BHALOO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-249-7323
Mailing Address - Street 1:PO BOX 16514
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76162-0514
Mailing Address - Country:US
Mailing Address - Phone:817-249-7323
Mailing Address - Fax:
Practice Address - Street 1:320 MERCEDES ST
Practice Address - Street 2:
Practice Address - City:BENBROOK
Practice Address - State:TX
Practice Address - Zip Code:76126-2593
Practice Address - Country:US
Practice Address - Phone:817-249-7323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1881672285OtherINDIVIDUAL NPI NUMBER