Individual
ABDUL-RAHMAN YOUSSEF ITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
729 WEST BEDFORD - EULESS RD., SUITE 105, HURST, TX 76053
(817) 952-3050
(817) 952-3053
Mailing address
P.O. BOX 1941, COLLEYVILLE, TX 76034
(817) 952-3050
(817) 952-3053
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H8149
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H8149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133604207
—
TX
Enumeration date
11/14/2006
Last updated
04/01/2014
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