| Dr Ihsan M Salloum, MD | |
| 
					2902 Haine Drive, Harlingen, TX 78550  | |
| (956) 296-4000 | |
| (956) 296-2842 | 
| Full Name | Dr Ihsan M Salloum | 
|---|---|
| Gender | Male | 
| Speciality | Psychiatry & Neurology - Psychiatry | 
| Location | 2902 Haine Drive, Harlingen, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760457147 | NPI | - | NPPES | 
| 001179664 | Medicaid | PA | |
| 4306227-01 | Medicaid | TX | |
| BCBS | Other | TX | H08QJ49601 | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME98860 (Florida) | Secondary | 
| 2084P0800X | Psychiatry & Neurology - Psychiatry | S6731 (Texas) | Primary | 
| Entity Name | University Of Texas Rio Grande Valley | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477960730 PECOS PAC ID: 3577885276 Enrollment ID: O20141209000376  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ihsan M Salloum, MD 2102 Treasure Hills Blvd Ste 2.126, Harlingen, TX 78550-8736 Ph: (956) 296-5527  | Dr Ihsan M Salloum, MD 2902 Haine Drive, Harlingen, TX 78550 Ph: (956) 296-4000  | 
Kathleen Ann Salvatore, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1713 Treasure Hills Blvd, Harlingen, TX 78550 Phone: 956-412-2700 Fax: 956-412-2701  | |
Dr. Daniel Gustavo Herrera, MD, PH.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1709 S 77 Sunshinestrip Ste B, Harlingen, TX 78550 Phone: 956-564-9510 Fax: 956-435-0215  | |
Mikael S Muratoglu, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2121 Pease St, Suite 1d, Harlingen, TX 78550 Phone: 956-389-4060 Fax: 956-412-7700  | |
Terry Kimberg, CRNA Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1702 N Ed Carey Dr, Harlingen, TX 78550 Phone: 956-423-4589  | |
Dr. Francisco Pascual Gomez, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2902 Haine Drive, 3.144.06, Harlingen, TX 78550 Phone: 956-296-4000 Fax: 956-296-2842  | |
Raissa Elaine Tanqueco,  Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2601 Veterans Dr, Harlingen, TX 78550 Phone: 956-291-9000  | |
J. Don Wathers, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1401 S Rangerville Rd, Harlingen, TX 78552 Phone: 956-364-8456 Fax: 956-364-8497  |