Individual
DR. DONALD JEFFREY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 LONDONDERRY DR STE 301, WACO, TX 76712-7922
(254) 741-6333
(254) 741-6364
Mailing address
405 LONDONDERRY DR STE 301, WACO, TX 76712-7922
(254) 741-6333
(254) 741-6364
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
H6724
TX
2086S0129X
Vascular Surgery Physician
H6724
TX
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
H6724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N59X
BLUE CROSS OF TEXAS
TX
05
—
159499601
—
TX
Enumeration date
07/10/2006
Last updated
06/10/2022
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