| Farida .yousuf.ali, M.d., Pa. | |
|
2000 Old Hickory Trl Desoto TX 75115-2242 | |
| (214) 774-2933 | |
| Not Available |
| Full Name | Farida .yousuf.ali, M.d., Pa. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2000 Old Hickory Trl, Desoto, Texas |
| Authorized Official Name and Position | Farida Yousuf Ali (PRESIDENT) |
| Authorized Official Contact | 8177038165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farida .yousuf.ali, M.d., Pa. Po Box 330561 Fort Worth TX 76163-0561 Ph: () - | Farida .yousuf.ali, M.d., Pa. 2000 Old Hickory Trl Desoto TX 75115-2242 Ph: (214) 774-2933 |
| NPI Number | 1043487259 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 11/25/2008 |
| Medicare PECOS PAC ID | 6406918457 |
|---|---|
| Medicare Enrollment ID | O20081229000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043487259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Farida Y Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073521019 PECOS PAC ID: 4183628316 Enrollment ID: I20060831000113 |
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