Individual
JOHN M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 S COULTER ST STE 1, AMARILLO, TX 79106-1787
(806) 354-0404
(806) 354-2810
Mailing address
1500 S COULTER ST STE 1, AMARILLO, TX 79106-1787
(806) 354-0404
(806) 354-2810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J0387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081138202
—
TX
01
—
127489100
SOUTHWEST LIFE & HEALTH
TX
05
—
134071303
—
TX
01
—
83252F
BCBS
TX
Enumeration date
08/08/2006
Last updated
12/31/2015
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