MEDICARE: ANTOINE G YOUNIS 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	207RC0000X	Cardiovascular Disease Physician	E3805	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	826063321	OTHER	TX	RR MEDICARE
3	00T641	OTHER	TX	MEDICARE ID

Other Identifiers

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

General Provider Information

NPI Number	:	1720082779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINE G YOUNIS M.D.

Provider Business Mailing Address
First Line	:	6560 FANNIN ST STE 1750
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2725
Country	:	US
Telephone Number	:	713-790-0400
Fax Number	:	713-799-2121

Provider Business Practice Location Address
First Line	:	6560 FANNIN ST STE 1750
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2725
Country	:	US
Telephone Number	:	713-790-0400
Fax Number	:	713-799-2121

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/06/2020

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Directions to “ ANTOINE G YOUNIS M.D.” Practice Location

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