Provider Demographics
NPI:1023686706
Name:YOUSSEF, TAIM I
Entity type:Individual
Prefix:
First Name:TAIM
Middle Name:
Last Name:YOUSSEF
Suffix:I
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 EMERALD BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:HORIZON CITY
Mailing Address - State:TX
Mailing Address - Zip Code:79928-6470
Mailing Address - Country:US
Mailing Address - Phone:915-333-9613
Mailing Address - Fax:866-200-2812
Practice Address - Street 1:2200 N LEE TREVINO DR STE A6
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-3409
Practice Address - Country:US
Practice Address - Phone:915-207-8844
Practice Address - Fax:866-200-2812
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-17
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health