Individual
BASIL A YOUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4545 FULLER DR, SUITE 325, IRVING, TX 75038-6530
(972) 870-5511
(972) 870-5512
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K9942
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
K9942
TX
207R00000X
Internal Medicine Physician
K9942
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140819701
—
TX
Enumeration date
06/29/2006
Last updated
12/20/2013
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