Individual
VIVIAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8700 COMMERCE PARK DR STE 220, HOUSTON, TX 77036-7431
(713) 636-3889
(832) 649-4403
Mailing address
8410 CHICKAMAUGA LN, HOUSTON, TX 77083-6370
(713) 636-3889
(832) 649-4403
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP144201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4063208-06
—
TX
Enumeration date
12/05/2019
Last updated
08/12/2024
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