Individual
YOUSEF KAYYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 N BELT LINE RD, SUITE C, MESQUITE, TX 75149-1793
(972) 288-3471
(972) 288-7445
Mailing address
1611 N BELTLINE RD, SUITE C, MESQUITE, TX 75149-1792
(972) 288-3471
(972) 288-7445
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K9004
TX
207RP1001X
Pulmonary Disease Physician
Primary
K9004
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047594902
—
TX
01
—
290013608
RR MEDICARE
TX
01
—
99GH
BLUE CROSS BLUE SHIELD GR
TX
01
—
K9004
TEXAS LICENSE
TX
Enumeration date
09/21/2005
Last updated
03/07/2023
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