Individual
DR. GLENN THOMAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 N HIGHLAND AVE, # 130, SHERMAN, TX 75092-7377
(903) 892-9179
(903) 868-2317
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D8493
TX
207RG0100X
Gastroenterology Physician
Primary
D8493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105499101
—
TX
01
—
8EK973
BCBSTX
TX
Enumeration date
11/03/2006
Last updated
08/18/2015
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