Individual provider Active NPI

Wissam Harmouch

  • Cardiovascular Disease Physician
  • Galveston, TX
National Provider Identifier
1043956543
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
BP20095502 Issued in TX
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

Updated by the provider on Jun 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220906000243 TX Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7416331756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BP10079504TXMDInternal Medicine Physician
BP20095502TXMDCardiovascular 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

Verify at the official NPI Registry.