Organization
GEORGE DEYOUNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE GAGE DEYOUNG M.D. (PRESIDENT)
(972) 403-3192
Entity
Organization
Contact information
Practice address
5332 BALMORAL DR, FRISCO, TX 75034-5995
(972) 403-3192
Mailing address
5332 BALMORAL DR, FRISCO, TX 75034-5995
(972) 403-3192
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
FO442
TX
251V00000X
Voluntary or Charitable Agency
FO442
TX
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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