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NPI Code Detail

MEDICARE: YASMEEN ALI MD

MEDICARE: YASMEEN ALI MD
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
1208000000XPediatrics PhysicianK5769TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356359814
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASMEEN ALI MD
Provider Business Mailing Address
First Line : 205 E UNIVERSITY AVE STE 200
Second Line :
City : GEORGETOWN
State : TX
Zip : 78626-6821
Country : US
Telephone Number : 877-800-5722
Fax Number :
Provider Business Practice Location Address
First Line : 200 NOLA RUTH BLVD
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-6074
Country : US
Telephone Number : 877-800-5722
Fax Number : 254-698-1673
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2006
Last Update Date : 02/23/2021

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Directions to “ YASMEEN ALI MD” Practice Location

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