Provider Demographics
NPI:1841491297
Name:YOUSUF, MIAN (MD)
Entity type:Individual
Prefix:
First Name:MIAN
Middle Name:
Last Name:YOUSUF
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 1:3537 S I 35 E STE 305
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6803
Mailing Address - Country:US
Mailing Address - Phone:940-384-4599
Mailing Address - Fax:469-713-0207
Practice Address - Street 1:3537 S I 35 E STE 305
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6803
Practice Address - Country:US
Practice Address - Phone:940-384-4599
Practice Address - Fax:469-713-0207
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57011439207R00000X
NC2013-02405207RC0000X
TXP9776207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine