Individual
DR. CARLA L YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 W COLLEGE ST, SUITE 685, GRAPEVINE, TX 76051-3580
(682) 223-1406
(682) 223-1346
Mailing address
1600 W COLLEGE ST, SUITE 685, GRAPEVINE, TX 76051-3580
(682) 223-1406
(682) 223-1346
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P1154
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A805320
—
CA
05
—
290680202
—
TX
01
—
344740YTNB
MEDICARE PTAN
TX
Enumeration date
10/19/2006
Last updated
02/26/2016
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