Individual
THOMAS C YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Mailing address
5002 COWHORN CREEK RD, TEXARKANA, TX 75503-9766
(903) 614-3000
(903) 614-3525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
K7490
TX
207X00000X
Orthopaedic Surgery Physician
Primary
K7490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046698901
—
TX
05
—
1169890001
—
AR
01
—
E2893
AR MEDICAL LICENSE
AR
01
—
K7490
TX MEDICAL LICENSE
TX
Enumeration date
09/14/2005
Last updated
10/09/2013
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