Individual
MR. MOHAMMAD YOSUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSA
Contact information
Practice address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
Mailing address
540 MADISON OAK DR, STE 610, SAN ANTONIO, TX 78258-3924
(210) 352-5346
(210) 352-5367
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13509239
CAQH
TX
01
—
14-637
ABSA BOARD CERTIFICATION
—
01
—
8FF839
BCBS
TX
01
—
SA00532
LICENSED SURGICAL ASSISTANT
TX
Enumeration date
03/10/2015
Last updated
08/20/2015
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