Organization
EMERGENCY ASSOCIATES OF TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STEPHEN YOUNG M.D. (PRESIDENT)
(903) 614-5090
Entity
Organization
Contact information
Practice address
2600 SAINT MICHAEL DR, TEXARKANA, TX 75503-2372
(903) 614-2223
Mailing address
2602 SAINT MICHAEL DR, SUITE 204, TEXARKANA, TX 75503-2387
(903) 614-5090
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF1742
RRGA
TX
Enumeration date
07/09/2006
Last updated
09/13/2007
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