Individual
DR. GEORGINA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 FM 646 RD W, SUITE C, DICKINSON, TX 77539-3249
(281) 554-0177
(281) 554-0178
Mailing address
519 HEDGECROFT DR, SEABROOK, TX 77586-5831
(281) 554-0177
(281) 554-0178
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L6728
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165076401
—
TX
01
—
5874713120
CHAMPUS
TX
Enumeration date
06/27/2006
Last updated
07/23/2008
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