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Individual

MR. CHARLES M YOUNGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2000 W CUTHBERT AVE, MIDLAND, TX 79701-5729
(432) 684-5848
(432) 684-8017
Mailing address
2000 W CUTHBERT AVE, MIDLAND, TX 79701-5729
(432) 684-5848
(432) 684-8017

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D5259
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
089684702
TX
01
127513100
FIRST CARE
TX
01
751477495
MISCELLANEOOUS
TX
01
MDD5259TX
WORKERS COMP
TX
Enumeration date
05/25/2006
Last updated
03/19/2008
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