MEDICARE: TEXAS HEALTH PROVIDERS PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RA0201X	Allergy & Immunology (Internal Medicine) Physician
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1699416743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS HEALTH PROVIDERS PLLC

Provider Business Mailing Address
First Line	:	1611 N BELT LINE RD STE C
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75149-1792
Country	:	US
Telephone Number	:	972-288-3471
Fax Number	:

Provider Business Practice Location Address
First Line	:	6909 LAKE JUNE RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75217-1325
Country	:	US
Telephone Number	:	214-391-1900
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. YOUSEF ABOUKAYYAS
Credential	:	MD
Telephone Number	:	972-288-3471

Provider Enumeration Date	:	04/05/2022
Last Update Date	:	04/05/2022

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Directions to “TEXAS HEALTH PROVIDERS PLLC ” Practice Location

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