Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Faraz Yousefian, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508432204

Dr. Faraz Yousefian, DO is a General Practice in San Antonio, Texas. Qualified in 2021, 5 years ago. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4301 Broadway # 121
San Antonio, TX 78209-6318
Phone: (310) 359-2912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 19204 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1508432204
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 2, 2021
Last updated in NPPESNovember 6, 2022
Certification dateNovember 6, 2022
Mailing address401 Se 3rd Ave Apt E, Hallandale Beach, FL 33009-6467

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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