Individual
CHARLES YOUNG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
5406 MAPLE VIS, SAN ANTONIO, TX 78247-4603
(210) 607-0305
Mailing address
5406 MAPLE VIS, SAN ANTONIO, TX 78247-4603
(210) 607-0305
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT3628
TX
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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