Provider Demographics
NPI:1891968475
Name:YOUNAS, NIZAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NIZAR
Middle Name:
Last Name:YOUNAS
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 1:607 TIMBERDALE LN.
Mailing Address - Street 2:STE 201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3043
Mailing Address - Country:US
Mailing Address - Phone:281-440-3005
Mailing Address - Fax:281-444-9070
Practice Address - Street 1:607 TIMBERDALE LN.
Practice Address - Street 2:STE 201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3043
Practice Address - Country:US
Practice Address - Phone:281-440-3005
Practice Address - Fax:281-444-9070
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1234207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMT 184641OtherPA STATE MEDICAL BOARD
PAMD434380OtherSTATE LICENSE (FULL)
TXN1234OtherSTATE LICENSE
TX8L19573Medicare PIN