Organization
YOUNG & YOUNG UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY CARR YOUNG RN, FNP (OFFICE MANAGEMENT)
(979) 779-6615
Entity
Organization
Contact information
Practice address
1404 BRISTOL, BRYAN, TX 77802
(979) 779-6615
(979) 823-2785
Mailing address
PO BOX 3607, BRYAN, TX 77805-3607
(979) 779-6615
(979) 823-2785
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00JH31
BLUE CROSS GROUP NUMBER
TX
05
—
083310501
—
TX
01
—
CP4127
MEDICARE RAILROAD
TX
Enumeration date
11/15/2006
Last updated
07/28/2008
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