Organization
YOUNGS PROFESSIONAL SERVICES LLC
Active
Other names
YPS Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY P YOUNG CRNA (OWNER)
(504) 442-4393
Entity
Organization
Contact information
Practice address
1100 ANDRE ST, SUITE 300, NEW IBERIA, LA 70563-2159
(337) 364-9225
(337) 364-6094
Mailing address
4619 KENNY RD, YPS-CRED, COLUMBUS, OH 43220-2779
(614) 457-8180
(614) 583-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C96U
BCBSTX
TX
01
—
DF5538
RAILROAD MEDICARE
LA
01
—
DP8370
MCR RR
TX
Enumeration date
11/09/2006
Last updated
08/28/2012
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