Individual
JOHN G YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6210 JOHN RYAN DR, STE 109, FORT WORTH, TX 76132-4113
(817) 361-7494
(817) 361-0705
Mailing address
6210 JOHN RYAN DR, STE 109, FORT WORTH, TX 76132-4113
(817) 361-7494
(817) 361-0705
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G8527
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132731
UHC PIN
TX
01
—
1416762
FIRSTHEALTH PIN
TX
01
—
2917579
CIGNA PIN
TX
01
—
4525787
AETNA PIN
TX
01
—
82Y880
BCBSTX IND PIN
TX
01
—
YOUJE76947
CCHIP PIN
TX
Enumeration date
10/16/2006
Last updated
10/29/2012
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