Provider Demographics
NPI:1144246588
Name:QAISER J YUSUF
Entity Type:Organization
Organization Name:QAISER J YUSUF
Other - Org Name:AMERICAN OPEN MRI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:QAISER
Authorized Official - Middle Name:J
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-837-6736
Mailing Address - Street 1:2306 N ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3455
Mailing Address - Country:US
Mailing Address - Phone:281-837-6736
Mailing Address - Fax:281-427-5536
Practice Address - Street 1:2306 N ALEXANDER DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3455
Practice Address - Country:US
Practice Address - Phone:281-837-6736
Practice Address - Fax:281-427-5536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR29535261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXFTX205Medicare ID - Type UnspecifiedPARTICIPATING PROVIDER