Individual
DR. BRIAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DSC
Contact information
Practice address
1100 WILFORD HALL LOOP, BLDG 4554, 59 MDW/SGHC, JBSA LACKLAND, TX 78236
(210) 292-6225
Mailing address
1100 WILFORD HALL LOOP, BLDG 4554, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236-9908
(210) 292-6225
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
05005082A
IN
2251X0800X
Orthopedic Physical Therapist
Primary
1300771
TX
Other
Enumeration date
01/05/2006
Last updated
07/11/2018
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