MEDICARE: A SALAM AL-HAFIDH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	H2979	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00127909	OTHER		MEDICARE RAILROAD
6	P00803765	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BF293	OTHER	TX	BCBS
3	0060HU	OTHER	TX	BCBS
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366417842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	A SALAM AL-HAFIDH M.D.

Provider Business Mailing Address
First Line	:	7505 GLENVIEW DR STE 151
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-284-9922
Fax Number	:	817-284-9926

Provider Business Practice Location Address
First Line	:	7505 GLENVIEW DR STE 151
Second Line	:
City	:	RICHLAND HILLS
State	:	TX
Zip	:	76180-8335
Country	:	US
Telephone Number	:	817-284-9922
Fax Number	:	817-284-9926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2006
Last Update Date	:	04/29/2010

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Directions to “ A SALAM AL-HAFIDH M.D.” Practice Location

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