MEDICARE: DR. JIHAD GEORGES YOUSSEF 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	P3492	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	30830	AZ
3	207RP1001X	Pulmonary Disease Physician	30830	AZ
4	207RS0012X	Sleep Medicine (Internal Medicine) Physician	P3492	TX
5	207RS0012X	Sleep Medicine (Internal Medicine) Physician	30830	AZ
6	207RP1001X	Pulmonary Disease Physician	P3492	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	30830	OTHER	AZ	MEDICAL LICENSE
3	8EA797	OTHER	TX	BLUE CROSS BLUE SHIELD
4	AZ0919370	OTHER	AZ	BCBSAZ

General Provider Information

NPI Number	:	1457306789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIHAD GEORGES YOUSSEF M.D.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1234
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2711
Country	:	US
Telephone Number	:	832-834-5346
Fax Number	:	832-834-5347

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1234
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2711
Country	:	US
Telephone Number	:	832-834-5346
Fax Number	:	832-834-5347

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	01/28/2019

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Directions to “ DR. JIHAD GEORGES YOUSSEF M.D.” Practice Location

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