Active NPI
Wissam Harmouch
- Cardiovascular Disease Physician
- Galveston, TX
National Provider Identifier
1043956543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- BP20095502
- Practice address
- University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555 - Phone
- (409) 747-1883
- Fax
- (409) 747-8579
- NPI assigned
- May 8, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10079504 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | BP20095502 | TX | Primary |
Addresses
Primary practice location
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555
Mailing address
University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555
Phone (409) 747-1883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220906000243 | TX | Order and Referring Only - Internal Medicine | 7416331756 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10079504 | TX | MD | Internal Medicine Physician |
| BP20095502 | TX | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1043956543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TEXAS MEDICAL BRANCH",
"address_2": "301 UNIVERSITY BLVD.",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77555",
"telephone_number": "409-747-1883",
"fax_number": "409-747-8579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TEXAS MEDICAL BRANCH",
"address_2": "301 UNIVERSITY BLVD.",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77555",
"telephone_number": "409-747-1883",
"fax_number": "409-747-8579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARMOUCH",
"first_name": "WISSAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-08",
"last_updated": "2025-06-16",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10079504",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "BP20095502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.