Individual
DEREK ALAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6202 82ND ST, LUBBOCK, TX 79424-3691
(806) 687-8008
(806) 687-8009
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-7661
(806) 687-0534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1224400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
320496801
—
TX
05
—
320496802
—
TX
01
—
881T55
BCBS
TX
01
—
P01166355
MEDICARE RAILROAD
TX
Enumeration date
08/01/2012
Last updated
12/16/2013
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