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Organization
JAMES R. YOUNG MD
Active
Organization
JAMES R. YOUNG MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R YOUNG M.D. (PRESIDENT)
(936) 559-9019
Entity
Organization
Contact information
Practice address
4800 NE STALLINGS DR, SUITE 1600, NACOGDOCHES, TX 75965-1249
(936) 559-9019
(936) 462-7876
Mailing address
4800 NE STALLINGS DR, SUITE 1600, NACOGDOCHES, TX 75965-1249
(936) 559-9019
(936) 462-7876
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
K4616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045LB
BC/BS
—
01
—
0089RM
BCBS
TX
05
—
165815501
—
TX
Enumeration date
11/06/2007
Last updated
01/14/2011
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