Provider Demographics
NPI:1710284252
Name:YOUSUF J ALLAWALA, PLLC
Entity Type:Organization
Organization Name:YOUSUF J ALLAWALA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YOUSUF
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALLAWALA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-698-9472
Mailing Address - Street 1:26311 REYGLEN DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-3548
Mailing Address - Country:US
Mailing Address - Phone:210-698-9472
Mailing Address - Fax:330-782-4750
Practice Address - Street 1:17720 CORPORATE WOODS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-3500
Practice Address - Country:US
Practice Address - Phone:210-491-9400
Practice Address - Fax:330-782-4750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ99462084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047098103Medicaid
TXTXB144957Medicare PIN