Organization
YOUNG KIDS PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GABBERT YOUNG M.D. (PRESIDENT)
(817) 361-7494
Entity
Organization
Contact information
Practice address
6210 JOHN RYAN DR, SUITE 109, FORT WORTH, TX 76132-4113
(817) 361-7494
Mailing address
6210 JOHN RYAN DR, SUITE 109, FORT WORTH, TX 76132-4113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G8527
TX
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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