Individual
JERRY D YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 HOSPITAL CIR, SUITE 201, BAY CITY, TX 77414-4771
(979) 241-6100
(979) 241-6105
Mailing address
600 HOSPITAL CIR STE 200, BAY CITY, TX 77414-4772
(979) 241-6100
(979) 244-8103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J4630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122021206
—
TX
01
—
8F7562
MEDICARE ID - TYPE UNSPECIFIED
TX
Enumeration date
11/01/2006
Last updated
08/19/2024
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