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NPI Code Detail

MEDICARE: FAEZA YUSUFALI

MEDICARE: FAEZA YUSUFALI
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
1183500000XPharmacist37808TX

General Provider Information

NPI Number : 1023316924
Entity Type Code : Individual
Provider Name (Legal Business Name) : FAEZA YUSUFALI
Provider Business Mailing Address
First Line : 3663 BRIARPARK DR
Second Line :
City : HOUSTON
State : TX
Zip : 77042-5205
Country : US
Telephone Number : 713-268-3630
Fax Number : 623-869-1717
Provider Business Practice Location Address
First Line : 11920 PRESTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75230-2711
Country : US
Telephone Number : 972-980-4915
Fax Number : 972-392-1506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2011
Last Update Date : 03/02/2011

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Directions to “ FAEZA YUSUFALI ” Practice Location

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