1104947902 NPI number — WOMENS ASSOC FOR OBSTETRICS & GYNECOLOGY

Table of content: DR. SYED HASAN YUSUF M.D. (NPI 1427303817)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104947902 NPI number — WOMENS ASSOC FOR OBSTETRICS & GYNECOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOMENS ASSOC FOR OBSTETRICS & GYNECOLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104947902
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8160 WALNUT HILL LN
Provider Second Line Business Mailing Address:
306
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75231-4339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-373-7800
Provider Business Mailing Address Fax Number:
214-373-1102

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8160 WALNUT HILL LN
Provider Second Line Business Practice Location Address:
306
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231-4339
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-373-7800
Provider Business Practice Location Address Fax Number:
214-373-1102
Provider Enumeration Date:
04/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LUTICH
Authorized Official First Name:
ANN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
214-373-7800

Provider Taxonomy Codes

  • Taxonomy code: 174400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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