Individual
MR. MIKE SCOTT YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP,LP
Contact information
Practice address
6901 S PADRE ISLAND DR, 103B, CORPUS CHRISTI, TX 78412-4929
(361) 992-7016
(361) 992-7369
Mailing address
6901 S PADRE ISLAND DR, 103B, CORPUS CHRISTI, TX 78412-4929
(361) 992-7016
(361) 992-7369
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
224
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010037201
—
TX
Enumeration date
07/07/2006
Last updated
06/09/2015
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