MEDICARE: YESSAR HUSSAIN MD PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	204R00000X	Electrodiagnostic Medicine Physician
2	2084N0400X	Neurology Physician
3	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician

General Provider Information

NPI Number	:	1205237351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YESSAR HUSSAIN MD PA

Provider Business Mailing Address
First Line	:	4705 SPICEWOOD SPRINGS RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8402
Country	:	US
Telephone Number	:	512-920-0140
Fax Number	:	512-920-0142

Provider Business Practice Location Address
First Line	:	4705 SPICEWOOD SPRINGS RD
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78759-8402
Country	:	US
Telephone Number	:	512-920-0140
Fax Number	:	512-920-0142

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. YESSAR HUSSAIN
Credential	:	MD
Telephone Number	:	512-920-0140

Provider Enumeration Date	:	09/09/2014
Last Update Date	:	09/07/2023

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Directions to “YESSAR HUSSAIN MD PA ” Practice Location

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