Individual
MARY GEORGE HANNA YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 FLOWER MOUND RD, FLOWER MOUND, TX 75028-3401
(972) 434-1988
Mailing address
614 S EDMONDS LN STE 101, LEWISVILLE, TX 75067-3624
(972) 434-1988
(972) 436-0351
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
51405-20
WI
207RC0000X
Cardiovascular Disease Physician
Primary
L5191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110242559
RAILROAD MEDICARE
TX
01
—
120722
SUPERIOR
TX
01
—
1427083203
NHP
WI
05
—
153905802
—
TX
05
—
35131600
—
WI
01
—
8B9058
BLUE CROSS
TX
Enumeration date
07/11/2006
Last updated
07/24/2023
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