Provider Demographics
NPI:1376565861
Name:JALAL, YASMEEN S (MD)
Entity Type:Individual
Prefix:DR
First Name:YASMEEN
Middle Name:S
Last Name:JALAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YASMEEN
Other - Middle Name:S
Other - Last Name:JALAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3521 TOWN CENTER BLVD. SOUTH
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-265-1160
Mailing Address - Fax:281-265-1260
Practice Address - Street 1:3521 TOWN CENTER BLVD. SOUTH
Practice Address - Street 2:SUITE B
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-265-1160
Practice Address - Fax:281-265-1260
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7796174400000X, 207YX0901X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029972902Medicaid
TX3932576-01TPIMedicaid
TX029972901Medicaid
10020047OtherAMERIGROUP
10020047OtherAMERIGROUP
TX364851YN34Medicare PIN