Provider Demographics
NPI: | 1225561384 |
---|---|
Name: | YOUSEF, KARL (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | KARL |
Middle Name: | |
Last Name: | YOUSEF |
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: | 5130 GATEWAY BLVD E |
Mailing Address - Street 2: | |
Mailing Address - City: | EL PASO |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 79905-1608 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 915-215-5386 |
Mailing Address - Fax: | 915-215-5386 |
Practice Address - Street 1: | 4815 ALAMEDA AVE |
Practice Address - Street 2: | |
Practice Address - City: | EL PASO |
Practice Address - State: | TX |
Practice Address - Zip Code: | 79905-2705 |
Practice Address - Country: | US |
Practice Address - Phone: | 915-215-4600 |
Practice Address - Fax: | 915-545-7338 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2017-04-06 |
Last Update Date: | 2025-05-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | S5811 | 207P00000X |
IN | 01083592A | 207P00000X |
AZ | 75308 | 207PE0004X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207PE0004X | Allopathic & Osteopathic Physicians | Emergency Medicine | Emergency Medical Services |
No | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 117535000 | Medicaid | |
FL | ME141555 | Other | STATE MEDICAL LICENSE |