Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | L4429 | TX |
NPI | 1033446687 |
---|---|
Provider Name | Dr. Mohamed Hassan Anwar Youssef |
First Address | Richardson, TX 75080 |
Second Address | Irving, TX 75061-7467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2009 |
Last Update Date | 26/03/2018 |