Individual
VIRGINIA RUTH YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCNS- BC
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-5686
Mailing address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-5686
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
AP119488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659750537
—
TX
Enumeration date
05/25/2015
Last updated
11/29/2017
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