Individual
MR. JOHN WALLACE YOUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1103 WOODSON DR, CALDWELL, TX 77836-1052
(979) 567-7080
(979) 567-9783
Mailing address
PO BOX 714, 3320 CR 377, CALDWELL, TX 77836-0714
(979) 567-0185
(979) 567-9783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00326
TX
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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