Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | P6908 | TX |
N | 208600000X | Surgeon | P6908 | TX |
N | 2086S0122X | Plastic and Reconstructive Surgery | A112867 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | P6908 | TX |
NPI | 1023278215 |
---|---|
Provider Name | Salim C Saba |
First Address | Woodbury, NY 11797-2019 |
Second Address | Dallas, TX 75390-9132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 04/11/2020 |