Provider Demographics
NPI:1194416008
Name:YOUSUF, MD
Entity type:Individual
Prefix:
First Name:MD
Middle Name:
Last Name:YOUSUF
Suffix:
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 1:8801 OHIO DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2268
Mailing Address - Country:US
Mailing Address - Phone:972-731-9517
Mailing Address - Fax:972-731-9596
Practice Address - Street 1:8801 OHIO DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2268
Practice Address - Country:US
Practice Address - Phone:972-731-9517
Practice Address - Fax:972-731-9596
Is Sole Proprietor?:No
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX230944156FX1800X, 156FC0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician