Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | F9813 | TX |
N | 2086S0120X | Pediatric Surgery | F9813 | TX |
NPI | 1154374502 |
---|---|
Provider Name | Hatem Salah Megahed |
First Address | San Antonio, TX 78229-6306 |
Second Address | San Antonio, TX 78229-6306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120160014 TRAD | (05) | TX |
120160015 CSN | (05) | TX |
8DL416 | BCBS (01) | TX |