Individual
AVERY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 23RD ST, CANYON, TX 79015-4645
(806) 655-2104
Mailing address
PO BOX 201, AMARILLO, TX 79105-0201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11678
TX
Other
Enumeration date
03/15/2018
Last updated
10/18/2018
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