Provider Demographics
NPI:1700236197
Name:YASIN, SAMIYA
Entity type:Individual
Prefix:
First Name:SAMIYA
Middle Name:
Last Name:YASIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 LYNDON B JOHNSON FWY STE 700
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-6065
Mailing Address - Country:US
Mailing Address - Phone:214-366-6128
Mailing Address - Fax:214-579-6941
Practice Address - Street 1:1505 LYNDON B JOHNSON FWY STE 700
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-6065
Practice Address - Country:US
Practice Address - Phone:214-366-6128
Practice Address - Fax:214-579-6941
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA320364207R00000X
TXT5063207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine