MEDICARE: ALFREDO DARWISHS-SALAMA LSA

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	246ZC0007X	Surgical Assistant	SA00315	TX

General Provider Information

NPI Number	:	1699893354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFREDO DARWISHS-SALAMA LSA

Provider Business Mailing Address
First Line	:	PO BOX 667211
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77266-7211
Country	:	US
Telephone Number	:	713-425-9759
Fax Number	:	713-425-9759

Provider Business Practice Location Address
First Line	:	1215 BANKS ST APT 2
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006
Country	:	US
Telephone Number	:	713-425-9759
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	02/03/2026

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