# PREMIUM PSYCHIATRY & MEDICAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Premium Psychiatry & Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538999370
- **Authorized official:** DR. JAWWAD YUSUF MD (MANAGER)
- **Authorized official phone:** (214) 814-5507

## Contact information

- **Practice address:** 2026 W UNIVERSITY DR, DENTON, TX 76201-0644
- **Practice address phone:** (940) 320-8100
- **Mailing address:** 424 ORLEANS DR, SOUTHLAKE, TX 76092-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2024
- **Last updated:** 08/06/2024