Individual
KEN H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
P O BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
48178
WI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
N7982
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218122401
—
TX
01
—
8CQ856
BCBS
TX
01
—
P00912147
RR MEDICARE
TX
Enumeration date
04/01/2006
Last updated
06/14/2012
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