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Organization

DFMED ZAVALLA LLC

Active
Other names
ZAVALLA FAMILY MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT YOUNG JR. PA-C (PHYSICIAN)
(936) 897-1002
Entity
Organization

Contact information

Practice address
153 BARGE RD, ZAVALLA, TX 75980-3003
(936) 897-1002
(936) 647-1041
Mailing address
PO BOX 594, ZAVALLA, TX 75980
(936) 897-1002
(936) 647-1041

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
363A00000X
Physician Assistant
PA03871
TX

Other

Enumeration date
05/31/2017
Last updated
10/17/2024
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