Provider Demographics
NPI:1326555921
Name:YOUSAF, TANIA ZESHAN (RN, APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:TANIA
Middle Name:ZESHAN
Last Name:YOUSAF
Suffix:
Gender:F
Credentials:RN, APRN, FNP-C
Other - Prefix:
Other - First Name:TANIA
Other - Middle Name:YOUSAF
Other - Last Name:AHMAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17418 NAREMORE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-4635
Mailing Address - Country:US
Mailing Address - Phone:281-785-5526
Mailing Address - Fax:
Practice Address - Street 1:12201 RENFERT WAY STE 225
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5369
Practice Address - Country:US
Practice Address - Phone:512-339-6626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-04
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP141098363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily