MEDICARE: ALI FAISAL YOUSIF M.D.

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
1	207R00000X	Internal Medicine Physician	BP10043126	TX
2	207R00000X	Internal Medicine Physician	Q0717	TX
3	207RC0000X	Cardiovascular Disease Physician	31107	OK
4	207RC0000X	Cardiovascular Disease Physician	Q0717	TX
5	207RC0001X	Clinical Cardiac Electrophysiology Physician	Q0717	TX

General Provider Information

NPI Number	:	1174880587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALI FAISAL YOUSIF M.D.

Provider Business Mailing Address
First Line	:	1820 PRESTON PARK BLVD STE 1450
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3691
Country	:	US
Telephone Number	:	469-800-4540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 PRESTON PARK BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-3656
Country	:	US
Telephone Number	:	469-800-4540
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	04/25/2023

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Directions to “ ALI FAISAL YOUSIF M.D.” Practice Location

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