Organization
HENRY T. YOUNG, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY T YOUNG JR. M.D (BUSINESS OWNER/ PHYSICIAN)
(225) 667-3100
Entity
Organization
Contact information
Practice address
1286 DEL ESTE AVE, DENHAM SPRINGS, LA 70726-4898
(225) 667-3100
(225) 667-5443
Mailing address
1286 DEL ESTE AVE, DENHAM SPRINGS, LA 70726-4898
(225) 667-3100
(225) 667-5443
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
016391
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1338656
—
LA
Enumeration date
08/01/2007
Last updated
06/27/2008
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