| Ehab Yacoub Md Pllc | |
|
1751 River Run Ste 200 Fort Worth TX 76107-6670 | |
| (877) 515-8113 | |
| Not Available |
| Full Name | Ehab Yacoub Md Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1751 River Run Ste 200, Fort Worth, Texas |
| Authorized Official Name and Position | Ehab Yacoub (CEO) |
| Authorized Official Contact | 8775158113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehab Yacoub Md Pllc Po Box 451249 Los Angeles CA 90045-8513 Ph: (877) 515-8113 | Ehab Yacoub Md Pllc 1751 River Run Ste 200 Fort Worth TX 76107-6670 Ph: (877) 515-8113 |
| NPI Number | 1700685997 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 03/10/2025 |
| Certification Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700685997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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