Provider Demographics
NPI:1720082779
Name:YOUNIS, ANTOINE G (MD)
Entity Type:Individual
Prefix:
First Name:ANTOINE
Middle Name:G
Last Name:YOUNIS
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 1:6560 FANNIN ST STE 1750
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2725
Mailing Address - Country:US
Mailing Address - Phone:713-790-0400
Mailing Address - Fax:713-799-2121
Practice Address - Street 1:6560 FANNIN ST STE 1750
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2725
Practice Address - Country:US
Practice Address - Phone:713-790-0400
Practice Address - Fax:713-799-2121
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-08
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE3805207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX826063321OtherRR MEDICARE
TXP000T6411Medicaid
TX00T641OtherMEDICARE ID
C23892Medicare UPIN