Provider Demographics
NPI:1679511125
Name:YOUMAN, JOSEPH DUDLEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DUDLEY
Last Name:YOUMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:901 W 38TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1165
Practice Address - Country:US
Practice Address - Phone:512-419-9733
Practice Address - Fax:512-451-3709
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD8118207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BP364OtherBCBS OF TX
TX830004592OtherRAILROAD MEDICARE NUMBER
TX136845802Medicaid
TX136845811Medicaid
TX136845810Medicaid
TXP00662597OtherRAILROAD MEDICARE
TX0811853-01Medicaid
TX89544FMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TXP00662597OtherRAILROAD MEDICARE
TX136845811Medicaid
TX0811853-01Medicaid
TX8L1680Medicare PIN