Individual
MR. JEFFREY JOE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2129 GREEN LEE LANE, DICKINSON, TX 77539-5152
(972) 308-7450
Mailing address
2202 TIMBER DR., DICKINSON, TX 77539-5152
(972) 308-7450
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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