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NPI Code Detail

MEDICARE: DR. YUSIF MOHAMMAD DDS

MEDICARE: DR. YUSIF MOHAMMAD DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry28146TX

General Provider Information

NPI Number : 1932464831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YUSIF MOHAMMAD DDS
Provider Business Mailing Address
First Line : 125 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-922-3483
Fax Number : 210-610-5887
Provider Business Practice Location Address
First Line : 125 SW MILITARY DR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78221-1650
Country : US
Telephone Number : 210-922-3483
Fax Number : 210-610-5887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2012
Last Update Date : 06/17/2024

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