Individual
DR. RALPH RAYMOND YOUNG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1404 BRISTOL ST, BRYAN, TX 77802-1919
(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
D7375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105490002
—
TX
01
—
340004371
MEDICARE RAILROAD
TX
01
—
878516
BLUE CROSS PROVIDER NUMBE
TX
Enumeration date
11/13/2006
Last updated
07/07/2008
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