Provider Demographics
NPI:1164088704
Name:RHEUMATOLOGY CARE CENTER
Entity Type:Organization
Organization Name:RHEUMATOLOGY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WAJEEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-685-0052
Mailing Address - Street 1:4523 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5810
Mailing Address - Country:US
Mailing Address - Phone:281-481-8557
Mailing Address - Fax:
Practice Address - Street 1:6300 WEST LOOP S STE 333
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2915
Practice Address - Country:US
Practice Address - Phone:313-685-0052
Practice Address - Fax:832-308-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-18
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty