Organization
IMC - INTERNAL MEDICINE CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A YOUNG MD (OWNER)
(830) 896-6100
Entity
Organization
Contact information
Practice address
218 SIDNEY BAKER ST, KERRVILLE, TX 78028-5367
(830) 896-6100
Mailing address
218 SIDNEY BAKER ST, KERRVILLE, TX 78028-5367
(830) 896-6100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00586R
BC/BS
TX
05
—
083860902
—
TX
Enumeration date
08/27/2006
Last updated
09/26/2013
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