Individual
JOHN M YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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