Individual
JEFFREY LEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
7789 SOUTHWEST FWY STE 540, HOUSTON, TX 77074-1835
(713) 486-8200
(713) 981-7106
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-8200
(713) 981-7106
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
556120
TX
363AM0700X
Medical Physician Assistant
PA02562
TX
363AS0400X
Surgical Physician Assistant
Primary
PA02562
TX
Other
Enumeration date
11/30/2006
Last updated
01/14/2019
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