Individual
DR. GREGORY DOUGLAS YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
200 SE 1ST ST, ANDREWS, TX 79714-7115
(432) 524-5580
(432) 524-5583
Mailing address
200 SE 1ST ST, ANDREWS, TX 79714-7115
(432) 524-5580
(432) 524-5583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146738301
—
TX
01
—
607054
BCBS
TX
Enumeration date
01/08/2007
Last updated
10/14/2011
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