Provider Demographics
NPI:1730509472
Name:YOUSUF, TARIQ
Entity type:Individual
Prefix:
First Name:TARIQ
Middle Name:
Last Name:YOUSUF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 N US HIGHWAY 75
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-0504
Mailing Address - Country:US
Mailing Address - Phone:903-201-6000
Mailing Address - Fax:877-915-7181
Practice Address - Street 1:425 N HIGHLAND AVE STE 220
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7383
Practice Address - Country:US
Practice Address - Phone:903-201-6000
Practice Address - Fax:877-915-1781
Is Sole Proprietor?:No
Enumeration Date:2014-04-21
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305405207R00000X, 208M00000X
390200000X
TXR7937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program