Provider Demographics
NPI:1033446687
Name:YOUSSEF, MOHAMED HASSAN ANWAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:HASSAN ANWAR
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:819 W ARAPAHO ROAD SUITE 24B PMB 131
Mailing Address - Street 2:PMB 131
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080
Mailing Address - Country:US
Mailing Address - Phone:469-230-6226
Mailing Address - Fax:
Practice Address - Street 1:611 N MACARTHUR BLVD STE 110
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7467
Practice Address - Country:US
Practice Address - Phone:972-253-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-03
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4429208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00825300Medicare PIN
TX8L23152Medicare PIN