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Organization
YOUNG C & A
Active
Organization
YOUNG C & A
Active
Other names
Young Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY JOE YOUNG D.C. (CHIROPRACTOR)
(806) 763-8361
Entity
Organization
Contact information
Practice address
4201 AVENUE R, LUBBOCK, TX 79412-1737
(806) 763-8361
(806) 762-6383
Mailing address
4201 AVENUE R, LUBBOCK, TX 79412-1737
(806) 763-8361
(806) 762-6383
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3067
CHIROPRACTIC LICENSE
TX
Enumeration date
03/22/2007
Last updated
08/22/2020
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