Organization Active NPI

Texas Physiatry Group PLLC

  • General Practice Physician
  • Richardson, TX
National Provider Identifier
1679088348
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
L4429 Issued in TX
Legal business name
TEXAS PHYSIATRY GROUP PLLC
Practice address
800 W Renner Rd
Richardson, TX 75080-1028
Phone
(469) 230-6226
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamed Anwar Hassan Youssef, MD
Title
Owner
Phone
(469) 230-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X L4429 TX Primary

Addresses

Primary practice location

800 W Renner Rd
Richardson, TX 75080-1028

Mailing address

800 W Renner Rd
Richardson, TX 75080-1028
Phone (469) 230-6226

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1679088348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801028",
            "telephone_number": "469-230-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801028",
            "telephone_number": "469-230-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PHYSIATRY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "HASSAN YOUSSEF",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "ANWAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-230-6226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "L4429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.