Provider Demographics
NPI:1295076586
Name:ALBALAWI, ELHAM SALEH H
Entity type:Individual
Prefix:
First Name:ELHAM
Middle Name:SALEH H
Last Name:ALBALAWI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1333 OLD SPANISH TRL
Mailing Address - Street 2:APT#1177
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-1849
Mailing Address - Country:US
Mailing Address - Phone:713-894-7993
Mailing Address - Fax:
Practice Address - Street 1:1333 OLD SPANISH TRL
Practice Address - Street 2:APT#1177
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-1849
Practice Address - Country:US
Practice Address - Phone:713-894-7993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10045292261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty