Organization
MARK D. YOUNG, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID YOUNG M.D. (PRESIDENT/OWNER)
(903) 465-2190
Entity
Organization
Contact information
Practice address
5012 S US HWY 75, SUITE 120, DENISON, TX 75020-4587
(903) 465-2190
(903) 465-2262
Mailing address
5012 S US HWY 75, SUITE 120, DENISON, TX 75020-4587
(903) 465-2190
(903) 465-2262
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
J0388
TX
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
J0388
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100360001
—
TX
Enumeration date
09/01/2006
Last updated
03/02/2011
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