Provider Demographics
NPI:1427422831
Name:YASMEEN JALAL MD PA
Entity type:Organization
Organization Name:YASMEEN JALAL MD PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:YASMEEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:JALAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-265-1160
Mailing Address - Street 1:3521 TOWN CENTER BLVD S
Mailing Address - Street 2:SUITE B
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1285
Mailing Address - Country:US
Mailing Address - Phone:281-265-1160
Mailing Address - Fax:281-264-1260
Practice Address - Street 1:3521 TOWN CENTER BLVD S
Practice Address - Street 2:SUITE B
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1285
Practice Address - Country:US
Practice Address - Phone:281-265-1160
Practice Address - Fax:281-264-1260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-23
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7796174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG46837Medicare UPIN