Organization
THE HEART DOCTOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN HOYT YOUNG M.D. (PRESIDENT OF COMPANY)
(936) 564-2828
Entity
Organization
Contact information
Practice address
5124 NORTH ST, NACOGDOCHES, TX 75965-1368
(936) 564-2828
(936) 569-1956
Mailing address
5124 NORTH ST, NACOGDOCHES, TX 75965-1368
(936) 564-2828
(936) 569-1956
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005EV
BCBS PROVIDER NUMBER
TX
Enumeration date
10/06/2005
Last updated
08/22/2020
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