Individual
GRAYSON M YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 743-2981
(806) 743-2984
Mailing address
6075 MONTE VISTA LN APT 1618, FORT WORTH, TX 76132-5436
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1215086
TX
390200000X
Student in an Organized Health Care Education/Training Program
899858
TX
Other
Enumeration date
05/31/2025
Last updated
11/04/2025
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